Summary of all latest Primary Care Updates
08:22:37 - 03.12.2021
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.
08:20:42 - 03.12.2021
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.
08:19:51 - 03.12.2021
Community Pharmacy - Change of Ownership
From the 1st 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.
08:19:09 - 03.12.2021
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.
12:49:42 - 30.11.2021
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.
11:40:07 - 26.11.2021
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
11:38:54 - 26.11.2021
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.
11:37:53 - 26.11.2021
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.
11:36:33 - 26.11.2021
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.
15:27:09 - 23.11.2021
5 Min Update - Cancer Screening Updates SE Locality
5 minute updates and information leaflets that SE locality have produced and shared with their practices.
15:22:10 - 23.11.2021
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
06:39:03 - 23.11.2021
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.
06:36:17 - 23.11.2021
Quasar Healthcare Professionals Feedback
Monthly Update - October 2021
06:31:33 - 23.11.2021
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:
The national protocol will be available to view/download via:
00:07:27 - 19.11.2021
Please find up to date version of Prestige language codes for interpreter services.
00:06:15 - 19.11.2021
Webinar - IPC in the Community & Practice Nursing
Details of webinar to be held on Thursday 25th 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.
00:04:29 - 19.11.2021
Breastfeeding Network Support Groups
Updated poster for display with updated details of local groups.
17:44:15 - 17.11.2021
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.
17:43:08 - 17.11.2021
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.
17:42:08 - 17.11.2021
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.’
17:41:26 - 17.11.2021
Referral of Diabetic Men for Vasectomy in Solent
Updated guidance and referral forms.
17:40:17 - 17.11.2021
Carers Centre & You: How can we help?
Information for Carers Rights Day (25th 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
17:39:10 - 17.11.2021
UK Threat Level raised to SEVERE
You will have seen details of the incident outside Liverpool Women’s Hospital which occurred on Sunday, 14th 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.
17:40:09 - 10.11.2021
PCN Online event for Cardiovascular Disease Prevention
Tuesday 30th 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
17:15:48 - 10.11.2021
Parenting Offer November/December
Details of services & workshops available to parents for November/December.
17:13:54 - 10.11.2021
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.
17:13:12 - 10.11.2021
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.
17:09:22 - 10.11.2021
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.
17:08:21 - 10.11.2021
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
17:07:01 - 10.11.2021
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.
08:03:34 - 05.11.2021
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.
08:01:59 - 05.11.2021
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.
08:00:35 - 05.11.2021
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.
07:58:59 - 05.11.2021
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.
07:57:08 - 05.11.2021
Quick Advice and Guidance Guide for Suspected New Heart Failure Referrals to Cardiology at PHUT
Just a reminder regarding Heart Failure referrals. The ERS process switched over from RAS to A&G on 6th September 2021. To support this change over in ERS, Dr Zaid Hirmiz has kindly created a short video on its use and how this looks in ERS. Please see link to the 10 minute video.
Please use the original referral form. Due to operational pressures at PHUT the 6 week non-urgent pathway is delayed and currently sits at 12 weeks. Please advise patients of this when you make the referral to ensure they are aware.
20:14:29 - 28.10.2021
Please see the slides from the NHSE complaints training that took place last week for those of you that could not attend. The training was both supportive and informative.
There are lots of slides but each slide is brief and it is very easy to quickly go through and pick out areas of interest.
20:13:15 - 28.10.2021
Two way communications - update to list
Please find attached an updated version of the two way communications document which now includes email addresses for dermatology, respiratory and pathology.
Renal is still outstanding despite chasing but I didn’t want to delay distributing this with the additions as some GPs have been asking for the missing email addresses. We will share again once the renal information has been received. Ardens have been requested to upload to One Drive.
20:12:36 - 28.10.2021
Healthwatch Portsmouth - Leaflets in GP surgeries on making a NHS complaint
Following a recent change in provider has meant that whenever patients contact Healthwatch to ask for support to make an NHS complaint they are being directed to a different service. This is causing frustration to patients as the old details are still being given out by hospitals and practices. Healthwatch have been trying to raise awareness that there is a new way of reaching the Portsmouth service of the IHCA and have been distributing leaflets to practices.
The link to the page on the HWP website explains about support that is available for Portsmouth residents for making an NHS complaint.
Below is a message for Care Navigators to share with patients who wish to contact the service directly:
“You can reach the free service offered for Portsmouth residents (living within the postcode areas of PO1-PO6) for support to make their NHS Complaint.
20:10:53 - 28.10.2021
Veterans Trauma Network
You may have already heard of or be a part of the Veterans Trauma Network in the NHS. Attached is a new flyer aimed at raising awareness of the service amongst Veterans.
In a nutshell, the VTN deals with all physical health problems in veterans as a result of their time in service - from recurrent illness and problems after limb loss to traumatic brain injury and service-related fertility issues. It is closely linked to Op COURAGE: The Veterans Mental Health and Wellbeing Service and charities such as BLESMA and Blind Veterans UK which can offer comprehensive care focused around veterans’ needs. The VTM has a number of Trauma Centres as well as specialist units across England. Access to the VTN is via the Veterans GP. More details are on the flyer.
20:09:03 - 28.10.2021
Accelerating patient access to their GP record
I would like to draw your attention to an NHSX programme of work to improve patients’ access to their GP records.
This new programme of work builds upon the existing GMS contract requirements for general practice to promote and offer online access to all coded and future prospective information in the medical record (clause 16.5ZA), or when requested in writing give access to the entire historic medical record (clause 16.5ZB). Despite patient interest and these commitments being established since April 2019, only a few patients have this level of access.
More information & details of webinars attached. document Accelerating patient access to their GP record (13 KB)
19:09:35 - 25.10.2021
Hospice and End of Life Care review
The All-Party Parliamentary Group (APPG) on Hospice and End of Life Care has launched a review into the lasting impact of COVID-19 on death, dying and bereavement in England. As part of this review, it is requesting written evidence from those who have provided palliative and end of life care during the pandemic on their experiences, innovations and adaptions in care and the lasting impacts of the crisis on the sector and its workforce.
The APPG plans to use the evidence submitted to this review to inform recommendations to Government and the hospice and end of life care sector to ensure lessons learned during the pandemic, as well as new challenges, are not forgotten and lead to an improvement in people’s experiences of death, dying and bereavement.
Whilst the APPG welcomes submissions of evidence to this review from as wide a range of organisations and respondents as possible, the group is particularly keen to receive evidence from friends and family of those who have died during the pandemic, informal carers of loved ones and frontline staff who have provided palliative and end of life care. Therefore, the group would be very grateful if you could share this call for evidence within your networks, with your staff and with the people who you support.
The deadline to submit written evidence to this review is 16 November 2021. More information on how to submit evidence can be found in the formal call for written evidence attached or accessible online here.
19:07:58 - 25.10.2021
Updated PGDs : 20211012UKHSAPGDHepAandBv03.00 : 20211012UKHSAPGDHepAv04.00 : 20211012UKHSAPGDHepBv04.00
Please see attached the new updated PGD for Hep A, B & A+B.
Please note the updated inclusion and exclusion criteria.
Details on the attachment.
19:06:42 - 25.10.2021
Solent NHS Trust Sexual Health Services will be initiating patients on Sayana Press®; subcutaneous progestogen only contraception.
Patient will be trained to use Sayana Press® and will be observed administering their first dose in Sexual Health clinic. Patients will then be asked to contact their GP for ongoing prescriptions for Sayana Press® and for supply of small purple-lidded sharps bin (so that they can self-administer at home 13 weeks after their first dose). For more information please see attached updated 'GP information sheet'
19:05:33 - 25.10.2021
4LSAB Multi Agency Fire Safety Framework Training Event Recording
As previously advertised in our newsletter, the Fire Safety Framework training event was held last week with much success. The recording of the session is now available and can be viewed online at any time via the link below. The slides that were presented are also available, plus a list of questions that were asked/answered.
Please share within your practice to raise the profile of the Fire Safety Framework, as well as how the Framework can support colleagues with their work.
22:18:27 - 21.10.2021
Influenza Guidance for the Recording of Unregistered Patients Vaccination Events
NHSEI has published guidance for general practice in relation to influenza vaccinations of eligible frontline health and social care staff and patients who are not registered with a practice as outlined within the guidance. The guidance includes specific information for each system supplier on how to record the vaccination event, payment processes, drug reimbursement and the transfer of the records to the patients registered practice.
The influenza guidance for the recording of unregistered patients vaccination events is available via the following link.
If you are unable to access the guidance on NHS futures please be aware you will need to register to be able to access.
22:17:16 - 21.10.2021
Pathology User Survey 2021
I would be grateful if you could take a moment of your time to complete this survey on the Pathology services at Queen Alexandra Hospital.
This year there are only four questions to answer but your individual comments are appreciated.
The survey will close on Monday 8th November.
22:15:48 - 21.10.2021
NHS Professionals visiting care homes
Information about the current requirements of NHS professionals when visiting care homes and important information about the additional responsibilities of primary care staff to share evidence of vaccination from the 11th November 2021.
16:22:40 - 20.10.2021
Communication from Regional IPC Vaccine Quality Huddle
Please can all practices and vaccine sites consider the risk of transmission of respiratory illnesses within their premises.
We are seeing increasing COVID-19 and respiratory virus circulation within the local area; this coupled with the increasingly wintery weather may lead to increased transmission risk within Primary Care and Vaccine Sites.
Please consider how you will reduce the risk of:
- Queues forming inside buildings where ventilation is inadequate
- Decreased social distancing due to the inability to wait outdoors
We know that many sites operated last winter and will already have these suggested actions already in place:
- Where possible, please advise anyone attending your site to dress for the expected weather
- Consider if you have access to outside shelters to protect queuing people from the worst of the weather
- Remind people to wear face coverings when attending (unless exempt)
- Reminder to those attending not to attend if they are positive/symptomatic of COVID-19
- Where there is queuing inside, please ensure:
- It is as well ventilated as possible
- Wait time is kept to a minimum
- Social distancing is maintained
- Face coverings are worn by those in the queue (unless exempt)
Please contact the Quality Team or Infection Prevention Team in your local area if you would like any support.
16:20:33 - 20.10.2021
Information to share with patients via social media and/or websites.
There were very few cases of Bronchiolitis/Respiratory Syncytial Virus (RSV) last year, therefore many young children, especially those under two years old, have never been exposed to these common viruses and may be more vulnerable this winter.
RSV leads to coughs and colds in winter, which causes the tiniest airways in a child’s lungs to become swollen, which can make it more difficult to breathe, and they may have difficulty feeding.
Recognising the various symptoms will mean giving the right advice and treatment when children develop any of the RSV symptoms listed:
- Raised temperature: pharmacists' support
- Sneezing and wheezing: 111 call line or GP support
- Very rapid breathing: A&E
Find out more online via the link
20:26:07 - 18.10.2021
Today marks Anti-Slavery Day – an opportunity to raise awareness of human trafficking and modern slavery
Today marks Anti-Slavery Day, an opportunity to raise awareness of human trafficking and modern slavery. The HSAB will be using its social media accounts to raise awareness of the day and I wanted to highlight to you the resources that you can access from the HSAB website relating to Modern Slavery which I encourage you to share within your organisations.
20:25:02 - 18.10.2021
Crime Prevention advice to GP Surgeries
Following concerns raised over the last week regarding increasing aggression and challenging behaviour from the public towards primary care, our local police have released the following information to support practices.
Please find listed below some useful crime prevention advice:
- Unattended and Suspicious items - GOV.UK (www.gov.uk)
- Good Housekeeping - GOV.UK (www.gov.uk)
- Accredited Product Search (securedbydesign.com) – providers of tested and certified letterbox guards
Also attached is the Crime Prevention advice we provided for vaccination sites (which includes GP surgeries) which has relevant advice about lighting, CCTV and other safety measures.
If you have any questions or require further information please let us know. If this type of incident persists and there is increased concern around this please contact Stuart York, the dedicated ‘design out crime’ officer who will be able to conduct a site security visit to offer more targeted advice at the location.
20:23:46 - 18.10.2021
HIPS Child Exploitation Autumn Newsletter
Please see attached the HIPS Child Exploitation newsletter for Autumn 2021.
20:22:45 - 18.10.2021
Letter to all practices from Hampshire, Southampton and Isle of Wight CCG and Portsmouth CCG
Attached is a joint letter written and signed by Dr Linda Collie, Portsmouth CCG and Dr Nicola Decker, Hampshire, Southampton and Isle of Wight CCG along with Maggie MacIsaac, Chief Executive of both CCGs, in response to the NHS England announcement made late last week.
20:21:37 - 18.10.2021
Supporting Good Maternal Health Webinars
Please find details attached of 2 webinars aimed at supporting pregnant women:
Alcohol and pregnancy: supporting pregnant women to stop drinking
Supporting good parental mental health
20:20:33 - 18.10.2021
You may be aware that the Police have declared the tragic murder of MP Sir David Amess as a terrorist related incident. The full statement can be found by following the link and there are also some words from the regional counter terrorism unit.
12:24:31 - 15.10.2021
Support from Hampshire Police for Practices
Against a backdrop of increasing pressure and wider concerns that Primary Care staff are experiencing increasing levels of aggression from public and patients (Portsmouth News 11/10/21), as well as a recent incident where an unidentified item was posted through a practice letterbox, the CCG has sought advice from the Police on actions to take in these scenarios.
If a practice receives any suspicious unusual items or suspect packages, etc, the police should be called immediately to assess the situation. Further details are attached.
12:23:23 - 15.10.2021
New e-RS Referrer Screens Training
Due to demand the NHS Digital Training team have put on an additional Referring Clinician training session.
This will take place on Thursday 25th November 1.00PM to 3.00PM and places can be booked via the e-RS website. These places are limited and will be offered on a first come first served basis.
The session is aimed towards those who would benefit to see what is available to referrers and referring teams on NHS e-Referral Service (e-RS), and which will include an overview of the planned e-RS enhancements due to be available early November 2021.
I have attached link below for you information with details of the planned enhancements.
12:21:53 - 15.10.2021
COAST information for GPs
We have been asked to remind you all of the referral procedure to the COAST service as they are still receiving inappropriate and/or incomplete referrals.
17:31:36 - 12.10.2021
Consultation on extending the provision of centrally-funded PPE
The Department of Health and Social Care have today launched a consultation on extending the provision of centrally-funded PPE until March 2023. The link to provide consultation feedback is here. A Consultation Factsheet is also attached for information.
The consultation is open until 23:45 on 31st October 2021 and we would encourage responses from all PPE Engagement Panel attendees. Please also share the link within your professional networks as we are keen to receive responses from all stakeholders.
Should you need any further assistance, please do not hesitate to contact me Moira Philpott (details below)
PPE Demand and Customer Insight
Deputy Director – Customer Insight Non-Acute
National PPE Team – COVID 19 (DHSC – NHS E & I)
17:30:26 - 12.10.2021
Weight Management Enhanced Service – Clarity re Snomed codes for generating a payment
We have been asked whether codes other than the one required under the Weight Management ES may be used to generate payments under this ES. The ES specification says:
“Practices must make a manual claim to their commissioner for payment. Claims must be on the basis of the number of unique patients with a qualifying referral (coded on the basis of the Snomed code below), Referral to weight management service code is 1326201000000101”
Any other codes used will not generate payment for these referrals.
17:29:47 - 12.10.2021
Pulmonary Rehabilitation Service update
The Pulmonary Service in now able to accept referrals for patients for both virtual and face to face group sessions – this is great news as we approach an autumn/winter with anticipated high levels of respiratory demand.
However, capacity is still limited by social distancing so we need to ensure we are prioritising the patients who will benefit the most from the programme. Therefore, re-referred patients will not be automatically accepted onto the programme and priority will be given to newly referred patients.
Please see attached a resource guide of alternative support options for patients who may benefit from interventions other than Pulmonary Rehabilitation.
Thank for your understanding and support.
17:28:30 - 12.10.2021
SE Flu Update: Issue 8
Please find attached the latest South East Flu Update.
17:27:34 - 12.10.2021
Cervical screening: Information for cascade
Please find information below relating to the cervical screening programme. Please can this information also be cascaded to your sample takers.
14:42:43 - 08.10.2021
GP Complaints Training
There are still a few places available for the NHS England Free 3-hour GP Complaints Handling workshop at the Holiday Inn in Portsmouth on 21 October. See attached for more information.
14:41:49 - 08.10.2021
NHS Cervical Screening Management System - Launch has been postponed
17:23:02 - 06.10.2021
Adult Weight Management Pathway and Let's Bounce Back
Please find attached the up-dated Adult Weight Management Pathway for Portsmouth residents. The pathway is very similar to the previous one, but with the addition of our new provision (digital weight management and Fit Fans) and the criteria around services (particular Tier 2) firmed up, so patients are signposted/referred to the most appropriate service for their needs.
I would like to draw your attention to 'Let's Bounce Back' the name given to the specific tier 2 weight management provision under the PHE funding grant for 21-22. This funding ends in March 22 and as a city we need to get a high number of patients through either of the two programmes. Currently the funding for both these programmes ends in March 22, but not the normal Wellbeing Service weight management, it will remain but without the exercise element. We would be very grateful if you could advise any patients you are talking to, who are eligible and wish to lose weight, to get in touch sooner rather than later, so they can access one of the current enhanced opportunities.
16:18:27 - 05.10.2021
NHS Cervical Screening Management System - Important update
Update about the new NHS Cervical Screening Management System which has been postponed from 30 October 2021.
For information, we have provided a link to the latest NHS England and Improvement letter.
16:17:07 - 05.10.2021
Covid-19 Vaccinations – Assuring implementation of JCVI guidance for vaccinating severely immunosuppressed individuals with a third primary dose – GP Letter
On 1 September the Joint Committee on Vaccination and Immunisation (JCVI) published guidance on third doses of COVID-19 vaccinations for individuals aged 12 years and over who were severely immunosuppressed at the time of their first or second dose. See attached.
16:15:30 - 05.10.2021
Harbour Marketing Material
Details of a new mental health crisis service for people living in Portsmouth, Fareham, Gosport, Havant & East Hampshire.
16:13:27 - 05.10.2021
e-RS referrer worklist changes - support information
Please find attached a presentation to support you cascading information to your users for the forth coming referrer worklist changes, planned for 5th November 2021 (subject to final testing).
The e-RS website has also been updated to include information on the changes. From here, a link to a YouTube video can be found to help support users further.
If you have any questions on these changes please contact us.
16:59:46 - 30.09.2021
Guidance on GP registration of Afghan Citizens and Families
Please find attached quick read guidance on GP registration of Afghan citizens on relocation and resettlement schemes.
15:14:32 - 28.09.2021
Surgical Paediatric Advice and Guidance Service, PHUT-RHU
From Monday 27th September 2021 changes will be taking place for referral into the Paediatric Outpatients Department to help manage waiting times and reduce unnecessary appointments. Details are attached.
15:06:25 - 28.09.2021
Healthy Conversation Skills Training information
Details of Healthy Conversation Skills training. This 3 hour, fully interactive on line training is designed to encourage and support the philosophy behind Making Every Contact Count (MECC) with added peer support, networking opportunities and a desire to implement what they learn in their daily lives as well as their roles.
15:04:31 - 28.09.2021
Grange Cardiology Service, Fareham
The Grange Cardiology Service, which is not available for Portsmouth patients to access, was appearing to practices as a referral option in error on eRS. This has now been corrected.
Practices who have referred to this service will receive a referral rejection. The Portsmouth service is available via St Mary’s Treatment Centre, Practice Plus Group (PPG) which can be accessed via eRS.
13:24:53 - 23.09.2021
Ear Care - Ear irrigation service
Please note, Practices who are unable to provide ear irrigation services should still be providing an ear examination before recommending private irrigation. Please refer to the GMS contract and remind reception teams they still need to book the patient in for a face-to-face appointment for an ear examination. This is to exclude potentially severe ear problems.
See link to LMC guidance for further information.
As I am sure you are aware, ear irrigation is not stipulated within the GMS contract. The GP registered nurse/health care professional has a duty under contract to assess the patient, undertake the appropriate examination and decide whether ear irrigation is the best course of action.
13:14:40 - 21.09.2021
HIOW SIT 5 Minute Update September 2021 Edition
Please find attached the September 2021 Edition of the HIOW Screening and Immunisation Team’s 5 Minute Update. Please share with your practice staff members as appropriate.
13:08:47 - 21.09.2021
Portsmouth City Council Local Plan Public Consultation - correct weblink
We are contacting you to invite you to read the new draft local plan for the city and provide your feedback. The public consultation on the 'Regulation 18' draft of the Local Plan will run until 31 October 2021.
We have opened a virtual consultation room which can be accessed via www.portsmouth.gov.uk/localplan
The plan has been split into topics to make it easier for people to view the areas they are interested in and provide feedback as they work their way around the virtual room. The room can be revisited multiple times during the six week consultation period to look at the different sections of the plan and give feedback.
Three drop-in events are being held for residents who may wish to view the plans and give their feedback in person:
- Saturday 16 October, 10am - 1pm, Cosham Library, Spur Road, Cosham.
- Tuesday 19 October, 4pm - 8pm, Pompey in the Community, Anson Road, Fratton.
- Wednesday 20 October, 10am - 2pm, Central Library, Guildhall Square, Portsmouth.
Following the consultation, we will make any necessary changes to the plan and then publish for a final consultation. It will then be submitted to Government where a Planning Inspector will be appointed to assess the plan at public hearing sessions. Once approved, it will become the definitive plan for Portsmouth for the next 15 years.
We look forward to receiving your responses.
Head of Planning Policy, Portsmouth City Council
13:05:38 - 21.09.2021
PCCG Safeguarding Newsletter Sept 2021
Please find attached the Portsmouth Clinical Commissioning Group Newsletter for September 2021.
13:02:26 - 21.09.2021
National report on NAI in under 1's - Family Safeguarding
The National Panel report published report on Non-Accidental Injury's (NAI) caused by male carers in children under 1 (this report) It looks at the impact of Adverse Childhood Experience (ACEs,) mental health, substance misuse and domestic abuse as factors in incidences where a male (usually the child's birth father) has gone on to seriously harm and kill an infant.
It really highlights the importance of family safeguarding and ensuring that fathers (and men living in the same household with the baby) are considered in our safeguarding work.
This quote on pg. 34 really stood out to me:
'During ante-natal appointments issues were identified in relation to father’s mental health and concerns were raised, yet this was not followed up. GP records show that he was discussed more than once at the GP safeguarding meeting, but this did not result in a referral to social care or any other agency.'
Locally a HIPS Unborn/Newborn Baby Safeguarding Protocol, has been developed to help staff know what actions to take
13:06:27 - 17.09.2021
Blood Tubes update 16/09/2021
Please see the attached update on blood tubes and updated published guidance on optimising blood testing in primary care.
The attached letter confirms the developments alongside the efforts of NHS staff to manage use, mean that the supply situation is no longer as constrained.
Key points form this letter include:
•Testing activity in primary and community care, in line with the best practice guidance, can resume, stocks permitting, from 17 September.
•It is important to avoid an immediate surge in demand for tubes beyond June and July 2021 baseline levels, so as not to potentially create further constraint in the supply chain. We ask that any backlog of tests is worked through over a period of at least eight weeks, prioritising as required, to spread the demand for tubes.
Further update to this situation is expected by Friday 8th October.
13:04:42 - 17.09.2021
GP Clinical Advisor Recruitment - NHSEI -SE Region
We would be most grateful if you could arrange for the attached advertisement and job description to be disseminated to GPs in your CCG / locality.
Kindly note that the closing date for applications is 4 October 2021.
Primary Care – Medical team
NHS England and NHS Improvement – South East
13:03:01 - 17.09.2021
The Genomics Education Programme – online survey
The Genomics Education Programme has launched an online survey to seek views from the medical community to better understand how genomics is being used and help inform future training and education plans.
We are sharing this information with you with the link below so that you are aware of it and can arrange to disseminate it to GP practices in your CCG/locality.
19:55:41 - 16.09.2021
GP Complaints Training 2021
NHS England is hosting complaints training sessions for GP practices, taking place from September to November this year: Portsmouth and Southampton is in October 2021. I would be grateful if you would share this invite / advert with your Primary Care teams so they in turn can share with the Practice Managers Networking Groups and any other forums they are aware of so Practice Mangers or GP’s wishing to attend can book a place.
19:51:32 - 16.09.2021
Community Connector Service
The Community Connector Service is for adults - 18+ - who are experiencing loneliness/social isolation and want to get out in the community to engage more but lack the confidence to do so. The service is part of the Independence and Wellbeing Team, Adult Social Care. Please see the attached to find out more.
15:11:49 - 15.09.2021
IPC Guidance for Spirometry
For your information, detailed IPC guidance that has been requested for restarting Spirometry.
15:08:43 - 15.09.2021
Women’s Health Matters Website Resource
For Educational training resources and access to educational webinars.
15:07:48 - 15.09.2021
Southern Health Foundation Trust are looking to recruit a GPSI to join their trust wide Community Eating Disorders Service. The service operates a Hub and Spoke Model with the Hub based at April House in Southampton and the spokes operating from the Bluebell Rooms at Kingston Crescent Surgery, Portsmouth and the Bridge Centre, Basingstoke. Further details about the role can be found in the link.
15:05:56 - 15.09.2021
New PSCP Website Content
Some of you may be aware that we have been reviewing the content and layout of our PSCP website, to try and make it more user friendly for busy practitioners. All of the subject pages in the Information for Professionals have been re-written to ensure they contain up-to-date information and that the layout is easier to navigate. We have also produced a One Minute Guide library for quicker reference and the Learning from Practice section has been revamped to hopefully make this information more accessible.
Please can you share this as widely as possible within your services and organisations to make staff aware of these changes. You may also need to update any quick links/hyperlinks you have created or saved to our website as these may no longer work.
Obviously we have strived to make the content as accurate as possible, but if you spot any inaccuracies please do let us know. We will continue to develop the website, so if there are any additional safeguarding issues or areas of practice you would like to see included in the future, then please do let us know.
15:04:18 - 15.09.2021
A collaborative workshop to share insights into Long COVID and the impact of the Living With COVID Recovery programme
Aims to connect clinicians already using the Living With COVID Recovery programme with those who are seeking to understand more about it and the pathway.
Find out the current picture in England, early insights into the data, the Long COVID pathway and the impact of the Living With COVID Recovery programme on services and patients.
15:35:15 - 14.09.2021
GP Practice Internal Communications Survey
After carrying out a practice manager engagement exercise across Hampshire and the Isle of Wight (including Portsmouth) and a six-month internal communications review, it has been highlighted that there is a need to review the communications channels with practices to see if we are able to provide something much more intuitive and consistent.
Last week we opened a survey to get more information about what we use at the moment and what we want from communications going forward. The survey runs until next Tuesday 21st September.
The survey has five questions in total – and then two more asking for profession and locality – so hopefully not too time consuming.
08:02:00 - 14.09.2021
Child J Case Review Publication
The PSCP has published its Local Child Safeguarding Practice Review, Child J. Child J is a 17-year-old Looked After Child and was placed out of area in April 2018. He had a significant history of intervention from various Local Authorities and many involvements with the Police for his violence, drugs and criminality.
He was charged with and convicted of murder. This killing happened amid fears that it was related to Child Criminal Exploitation with major concerns around Child J’s involvement with gangs and County Lines and the significant, serious harm he had suffered.
You can view the overview report, as well as the PSCP response document and a short 7 point learning briefing here. Please can we ask that you disseminate this within your organisation, encourage teams to reflect on the findings and discuss the implications for your service or practice.
14:29:42 - 10.09.2021
LIFEPAK CR Plus AED - Replacement Charge-Pak shortage
Please read the attached comms.
14:28:39 - 10.09.2021
Southsea Parkrun – CQUIN 2021/22 Physical Activity
FAO Practice Managers and Social Prescribers
Please see the attached letter from the Southsea Parkrun Team regarding how to get involved, this will also meet requirements as part of the Physical Activity element of the 2021/22 CQUIN and the achievement of the Active Practice status.
14:25:41 - 10.09.2021
Ovarian Cancer Interventions
Target Ovarian Cancer are currently recruiting pilot sites for pilot work to develop and test primary care pathway interventions to improve early diagnosis of ovarian cancer.
To find out more, please visit: https://targetovariancancer.org.uk/health-professionals/commissioners
13:05:34 - 09.09.2021
Meet the new IG Team
Please read the attached comms.
13:04:30 - 09.09.2021
Emergency Services Day - 9 Sept - A letter to say thank you
On Emergency Services Day (9 September 2021), Clinical Chair of Portsmouth CCG, Elizabeth Fellows, Executive Lead for Health and Care Portsmouth, David Williams, and Managing Director of Health and Care Portsmouth, Jo York, have written a thank you letter to all staff and volunteers within the NHS in Portsmouth. Please read the attached letter.
13:03:00 - 09.09.2021
Queen Nursing Institute – Personalised Care Innovation Projects
Personalised Care Innovation Projects in England! Apply by 29th October 5pm, please read the attached comms for more details.
12:47:29 - 08.09.2021
Portsmouth Breastfeeding Network Groups – September 2021
Please see the attached comms for further details on groups.
12:44:37 - 08.09.2021
An update on the Special Allocation Scheme
From 1 September 2021, the NHS clinical commissioning groups covering Hampshire, Southampton, Isle of Wight and Portsmouth have awarded a new contract for the provision of GP services under the Special Allocation Scheme (SAS).
Partnering Health Limited have been appointed to offer the service. They have delivered the scheme in Portsmouth and some areas of Hampshire for some time. In the initial period of operation, patients will be able to seek medical advice over the phone, with in-person appointments being offered at a number of locations across Hampshire and the Isle of Wight. Online services will be available shortly.
Referral routes for practices remain the same via Primary Care Support England (PCSE). Please speak to your local team if you have any queries.
12:43:29 - 08.09.2021
Paediatric Long Covid Service reminder
Just a reminder that the paediatric long Covid service is live across Hampshire, Southampton, Portsmouth and the Isle of Wight. The service encompasses a multi-disciplinary approach and is overseen by a paediatrician. It is not a paediatric referral and if there are aspects of a child's care that need a paediatric referral, then that may be more appropriate.
- Under 18’s Long Covid Pathway
- Paediatric Long Covid Service information for GP’s
- HIOW Childrens Long Covid Pathway presentation https://vimeo.com/555740089/4c53204190 presented by Dr Mark Alderton – Clinical Lead for the service and Carol Quint – Clinical Team Coordinator Solent
- HIOW Childrens Long Covid Pathway slide deck
- Referral form into the service ( please can this be uploaded onto EMIS/ Arden’s)
13:22:54 - 07.09.2021
Two Way Communication Process between Primary Care and Secondary Care
Please read the attached comms.
14:18:58 - 06.09.2021
All GP Practices in HIOW will shortly have access to the AccuRx Florey Plus service. This will be an addition to the current AccuRx offer.
The other additional templates included in Florey Plus are:
- Blood Pressure Monitoring
- Blood Pressure 7 Day Monitoring
- Health Check
- Depression PHQ-9
- Anxiety GAD-7
- Combined Oral Contraceptive Pill
- Progesterone-Only Pill
- Diabetes (Pre Appointment)
The Florey Plus surveys will operate in the same way as the existing florey provision, with patient text responses entering into the GP Record as free text, or as SNOMED coded data.
Please see embedded document document (14 KB) for further information.
13:50:53 - 06.09.2021
Solent NHS Trust Sexual Health Services will be initiating patients on Sayana Press®; subcutaneous progestogen only contraception, which patients can self-administer at home every 13 weeks. Patients will receive counselling and training from Solent Sexual Health Services. Patients will be asked to contact their GP for prescription for subsequent doses of Sayana Press® and for supply of small purple-lidded sharps bin. For more information please see attached 'GP information sheet'
13:50:02 - 06.09.2021
NHS Health Checks - Universal or High Risk Check - Recording of Information
Please see the attached information regarding the recording of NHS Health Checks, both Universal or High Risk Checks.
14:18:58 - 03.09.2021
GP Survey - to help with new guidance
We have been receiving requests from GP staff via our help desks (both clinical and non-clinical) struggling to find the answers they need to direct patients for Covid pass, NHSApp and GP Online Services.
As you may be aware, there are already many guidance tools accessible to frontline staff and they will always remain available and regularly updated.
However, we would like to urgently provide the most helpful guide for GP staff that will provide answers they require.
In order to get this as accurate as possible we are kindly asking if GP staff can complete this very short survey by following the link.
13:12:34 - 03.09.2021
NHS DPP – Process for referring people aged over 80 years
Please see the attached comms.
13:10:52 - 03.09.2021
Change to the Pharmaceutical list
NHSE PCSE has advised of a transfer of ownership from Southsea Pharmacy to Laly’s Pharmacy. Please see attached for details.
18:26:46 - 02.09.2021
Updated and New PGDs for the Shingles Vaccination Programme
Updated and new authorised PGD.
- PHE Zostavax PGD amended to:
- renamed as the Zostavax PGD and replaces the previous PHE Shingles PGD
- reflect recommendations in the revised Green Book Chapter 28a and changes to the national shingles programme following the introduction of Shingrix® vaccine (see PHE Shingrix PGD attached)
- updated criteria for exclusion, cautions, actions if excluded, drug interaction and additional information sections
- NEW PHE Shingrix PGD to reflect the introduction of Shingrix from 1 September for the vaccination of individuals who are contraindicated to Zostavax
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:
18:23:21 - 02.09.2021
GP comms regarding Care homes and Vaccinations
Please read the attached comms regarding Care homes and Vaccinations
18:19:22 - 02.09.2021
National Lower Limb Strategy Drop In Day
Please see details about a ‘Drop In’ day for National Wound Care Lower Limb Celebration on Tuesday 5th Oct 2021.
18:16:01 - 02.09.2021
Peristeen Product Change GP Letter
During the period between July and December 2021, Coloplast Ltd will be launching their new Peristeen® Plus transanal irrigation system; this will be replacing the current Peristeen® transanal irrigation system. This is a product upgrade; the new Peristeen® Plus system has improved connectors, a new dial design and more intuitive symbols on the control unit. There is no cost difference between the old and new system. Coloplast Ltd have been informing patients of the change since May 2021 by putting information in patients’ delivery boxes and providing an email update to those ordering through Coloplast Charter. Coloplast Ltd has also been informing practices of the new consumable codes to prescribe (as per table in the attached document) for when a patients switch from Peristeen to Peristeen plus
16:39:30 - 01.09.2021
Blood Specimen Collection - Supply Disruption
Please see the attached National letter on blood collection supply disruption.
Colleagues at PHU have advised that some Rheumatology patients have reported difficulty in accessing blood tests in relation to their conditions.
Rheumatology patients should still be able to access blood tests in view of the need to ensure safe prescribing of medication and ongoing monitoring of their condition. This is supported by the following extract from the attached letter:
Primary Care and Community Care
All primary care and community testing must be halted until 17th September 2021, except for clinically urgent testing.
Examples of clinically urgent testing include:
- Bloods that are required to facilitate a two week wait referral
- Bloods that are extremely overdue and/or essential for safe prescribing of medication or monitoring of condition
- Bloods that if taken could avoid a hospital admission or prevent an onward referral
Those with suspected sepsis or conditions with a risk of death or disability
Blood Bottle shortages – comms for website
Following on from yesterday’s notification, the national team has provided some suggested website patient communications, that you may wish to use on your practice website:
A supplier to the NHS has advised us of a global shortage of some equipment used for taking blood tests.
Anyone who needs a test for urgent health problems will still get one but where your clinician recommends that it is safe to do so, then you may be asked to come back for a test at a later date or your appointment may be rescheduled.
Given the nature of the shortage, we cannot give an exact date for when the test will be rescheduled but please be assured that if your condition or symptoms require it, then you will get a test and we will be re-booking your test when supplies become more easily available.
If your condition or symptoms change or get worse, please contact the NHS as you would normally.
09:31:52 - 01.09.2021
Treatment Room Audits – Infection Prevention
Solent Infection Prevention team are now able to restart the annual treatment room audits.
If you would like to book one, please contact:
09:30:45 - 01.09.2021
Learning from Lives and Deaths - People with a Learning Disability and Autistic People
This document is to let you know more you about the Learning from Lives and Deaths – People with a Learning Disability and Autistic People (LeDeR) programme.
20:02:23 - 26.08.2021
Please see attached the amended Hampshire poster for Pharmacy Opening times.
13:48:57 - 26.08.2021
Infection Prevention event - Wednesday 20 October
Solent IPC Team will be holding another Practice Nurse link session in October. However, they are also holding the following event and would like to invite the practice nurse link advisors to attend the session if they wish. The event will be streamed live from Southampton Football Club, via Zoom.
To register your interest and to receive all further event information, please sign up via the link
13:45:41 - 26.08.2021
Hampshire Pharmacy Opening times
Please see attached the Hampshire community pharmacy opening hours for the 30 August 2021 - Bank Holiday Monday.
13:43:36 - 26.08.2021
Modern Day Slavery information
Please see attached the Hampshire and IOW Modern Slavery Partnership Strategy (MDSP) that has been updated including a new forward from PCC Donna Jones. Additionally, the MDSP is holding a webinar on sexual exploitation with a focus on supporting those in the commercial sex industry on 7th September. Information about this event and the link to register can be found below. Any queries should be directed to them through this page.
Please share within your organisation appropriately.
13:42:20 - 26.08.2021
e-RS overview sessions
There are further e-RS overview session dates available to book onto from the website.
We anticipate these being popular. If you have any staff members looking to undertake these session please ask them to book their places asap.
22:07:49 - 17.08.2021
Hampshire & IOW – people portal
Information website to provide people with links to what they need to be healthy and well in work.
22:06:49 - 17.08.2021
Alcohol Brief Advice in Primary Care: An invitation to stake holder workshop 11:00 - 14:00 Monday the 20th of September
You may have previously expressed an interest in or taken part in previous research around improving the delivery of very brief advice on alcohol in primary care. We are pleased to invite you to the final stages of the training’s development. Further details are on the attached.
22:05:17 - 17.08.2021
Guidance on NHS staff and student isolation
A letter has been issued for NHS staff regarding the change in guidance for self- isolation. Please see link Guidance on NHS staff and student isolation.
18:04:20 - 16.08.2021
Training opportunity from the Police anti-corruption unit
Earlier in the year the Anti-Corruption Unit within Hampshire Police held several short virtual training presentations on the subject of Police Officers/Staff abusing their position for sexual gain. This is a nationally recognised concern within policing that the imbalance of power is being abused by some officers and staff and there is a need to shine a light on this to educate and prevent further harm being caused. Whilst thankfully this behaviour is very rare within Hampshire Constabulary we would like to take this opportunity to explain more about the topic, the signs to look out for and importantly when and how to report any concerns. Details of sessions are attached.
18:01:12 - 16.08.2021
Hypo Awareness Week: 13th - 19th September 2021
Details and information on how to register for Hypo Awareness week.
17:57:48 - 16.08.2021
Please find attached a small update newsletter from Portsmouth CCG Safeguarding team.
17:55:12 - 16.08.2021
Wessex Public Health Practitioner Programme 2022- 'What is Public Health Practitioner Registration' Webinar
The Wessex Public Health Development Network are delivering a webinar on Wednesday 15th September aimed at professionals wanting to find out more about joining the Wessex Public Heath Practitioner Programme. Please circulate and share with colleagues who may be interested in applying for this programme for 2022-2023.
Please see the attached poster for more details.
This Webinar will take place on Teams and a separate email will be sent to you with joining instructions.
09:59:30 - 12.08.2021
PCCG - Quasar HCP Feedback GP Feedback Report
Please see attached Quasar Update report produced by HIOW on behalf of Portsmouth CCG. The report shows feedback from Portsmouth practices and the top 5 feedback themes across the Portsmouth and SE Hants area. This will be shared with practices quarterly.
09:44:51 - 12.08.2021
Deaf Awareness and Sign Language Workshops in Hampshire
This year, we are offering deaf awareness and sign language workshops in Hampshire and surrounding areas. This might be of interest to healthcare and/or non-clinical staff in their work with vulnerable service users, families and colleagues. We can come to you, or alternatively, we also offer remote learning via Zoom and Microsoft Teams.
Award-winning Signs4Life is leading efforts towards a society in which people with disabilities have full access and are working to raise the public and political awareness of disability provision.
PLEASE NOTE THERE IS A CHARGE FOR THESE COURSES – SEE ATTACHED FOR DETAILS
09:42:43 - 12.08.2021
Kooth National GP Webinars
Kooth plc are running webinars on 18,19 & 23 August for GPs, Practice Managers and any healthcare professionals interested in learning more about what the online mental health service offers. The webinars provide an overview and resources to signpost patients to the service.
You can see dates and register for the sessions here
09:41:26 - 12.08.2021
New Term Dates Triple P Discussion Groups and September Parenting offer 2021
Please find attached the next term dates for Triple P Discussion Groups along with the Parenting offer and Non-Violent Resistance (NVR)/Rebuilding Relationships (RR) information.
09:38:23 - 12.08.2021
GP IT Services
The new GP IT Services contract with HC and Arden & GEM CSU partnership began last month. If you would like more information on the services they provide please visit their website here: HIOW – Welcome to your new partner for GP IT services | Healthcare Computing . For information on IG and DPO it can be found here
14:50:38 - 06.08.2021
Changing the timing of the neonatal BCG immunisation programme to a 28-day immunisation programme letter.
Please read the attached comms.
16:19:19 - 05.08.2021
Hampshire Learning Disabilities Mortality Review (LeDeR) Annual report for 2020/21
The Hampshire Learning Disabilities Mortality Review (LeDeR) Annual report for 2020/21 has now been published on the NHS Portsmouth CCG website –
Please see attached for local data and narrative summaries.
16:16:57 - 05.08.2021
ADHD diagnosis service – updated advice for GPs
Portsmouth CCG commission a service from Surrey and Borders Partnership Trust (SABP) for 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 the service is being managed via SABP and therefore all 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. As a result the CCG will not support referrals to other providers. Details are attached.
16:15:04 - 05.08.2021
Surge planning for Paediatric Respiratory Viral Infections 2021-22
There is a surge in respiratory syncytial virus (RSV) infection expected over the next few months (August to March), occurring earlier than usual and affecting a wider age range of children. We are also expecting an increase in other respiratory viruses due to the relative lack of exposure over the last 18/12. This will result in more children presenting to health care services with wheezy respiratory illness.
The attached guidance has been put together by colleagues at PHUT and across the system to assist Primary Care in the management of these cases.
16:13:43 - 05.08.2021
Acute Paediatric Assessment for Primary Care
Please find attached guidance on how to appropriately assess the acutely ill child using remote assessment and when face to face is appropriate.
13:58:20 - 03.08.2021
Hoarding OMG For Portsmouth GP Surgeries
Please find attached a One Minute Guide to Hoarding. This OMG includes:
- What is Hoarding?
- Self-Neglect or Diogenes Syndrome
- Hoarding Risks
- Subtle signs of hoarding or self-neglect
- Identifying the scale of the issue
- Useful Links
Risk management strategies & legislative remedies
13:55:03 - 03.08.2021
County Lines Resource guide
‘Unseen’ has produced a brief guide for parents, teachers, and those who work with children on how to spot county lines exploitation, and where to go for help. The guide outlines nine things you need to know to protect children from exploitation.
13:53:16 - 03.08.2021
JCVI children and young people announcement
We have been made aware that some practices are receiving calls and emails from parents asking whether their child or young person can book in a Covid-19 vaccination, following the national announcement that some children and young people will be eligible to receive it
The current guidance is for parents and young people is to wait until the NHS contacts them to book them an appointment.
To help you communicate this, please find attached a script which outlines the situation, but also website copy and FAQs document, which you can use to help communicate to the public.
13:58:29 - 30.07.2021
Change in Operating Hours for St Mary’s Urgent Treatment Centre
Due to significant staff shortages St Mary’s Urgent Treatment Centre (UTC), run by Practice Plus Group (PPG), PPG have taken the difficult decision to temporarily reduce their opening hours. The service has historically operated 07:30-22:00 Monday-Friday, and 08:00-22:00 at weekends.
From the 02/08/21 the service will operate from 08:00-20:00 7 days a week. This will be reviewed on a weekly basis.
We are aware that all services across the health and care system are experiencing significant pressures at present and challenges continue to rise.
The decision by PPG has not been made without significant exploration into alternative options, and liaising with system colleagues for support.
At this juncture the alternative options for patients seeking urgent care during the affected hours include: Pharmacies, 111 Online (or alternatively the 111 telephony service), and the Gosport War Memorial Walk-in Centre.
Plans are in place to stabilise the service and revert to full operating hours as soon as is possible to do so.
13:57:03 - 30.07.2021
A new ICE 2ww Referrals Panel
A new ICE Panel for 2ww referral requests and another for the Rapid Investigation service requests have been set up on HHFT, IoW, PHU and UHS hospital systems. The use of this 2ww panel is not mandatory; it is to assist GPs request advisory 2ww referral tests, enable timely referrals and support the patient to be sent direct to investigation or avoid unnecessary investigations. These ICE panels should be used in conjunction with the relevant 2wwr form.
This ICE panel communication is not applicable to HIOW practices that refer into Salisbury, Dorset or Frimley hospitals.
During this project consultation, it was noted that some Wessex Cancer Alliance referral forms are due for review. The WCA will lead the review of Prostate, Breast and Colorectal 2ww referral forms and they will ensure that GP’s are fully engaged in the review process. The 2ww ICE panels align with current WCA referral forms; necessary changes to the ICE panel will be made in line with review outcomes if it results in changes to advisory 2ww referral blood requests.
13:54:56 - 30.07.2021
URGENT CASCADE: C1363 - Letter to Maternity and Primary Care Services on COVID-19 vaccination in pregnancy
Please see attached C1363 - Letter to Maternity and Primary Care Services on COVID-19 vaccination in pregnancy. This is for onward cascade.
14:23:09 - 29.07.2021
Changes to centrally supplied HPV vaccine
Please find attached information relating to the planned change to the vaccine supplied for HPV vaccination.
The vaccine supplied for the programme will change from Gardasil® to Gardasil® 9 during the 2021 to 2022 academic year. PHE will continue to supply vaccine for the HPV programme in the usual way (via ImmForm) and will issue the remaining central supplies of Gardasil® before the switch to Gardasil® 9.
14:21:34 - 29.07.2021
GP Fellowship programme
We are re-advertising the GP fellowship scheme which is due to start in September in order to attract anyone who has CCT’d since January 2020 and missed the opportunity to sign up last time and also to ensure it is open to anyone who is CCT’s this summer. All the information in how to sign up is attached.
If you have any questions about finances and logistics or the details of the programme, please contact below:
Fran White, ICS Programme Manager - Models of Care, GP Forward View and Personalised Care
14:17:58 - 29.07.2021
RVOC-6545: GP REAP 4 Letter from John Black
Please find attached letter from John Black, Medical Director, South Central Ambulance Service NHS Foundation Trust; Dr Fionna Moore, Executive Medical Director, South East Coast Ambulance NHS Foundation Trust & Vaughan Lewis, Regional Medical Director, NHS England & Improvement South East.
The letter details the Resource Escalation Action Plan (REAP) which has been escalated to level 4 with the likelihood of remaining at this highest level of escalation for several weeks.
Any issues, please email RVOC for assistance.
06:33:05 - 29.07.2021
Standard Operating Procedure for the Surgical assessment Ambulatory Care Unit (SAUA) at Queen Alexandra Hospital
Please see attached the imbedded Standard Operating Procedure (SOP) document that provides guidance for the working process of the Surgical Assessment Ambulatory Care Unit (SAUA). It describes the criteria by which patients are identified as suitable for assessment in SAUA and also details of the referral process.
- Referrals from GP, SCAS and interdepartmental Clinical Nurse Specialists:
- 08:00 - 20:00 are accepted via the Surgical Emergency Nurse Practitioner (SENP) carrying Bleep 1407.
20:00 - 08:00 are accepted via the On Call SPR carrying Bleep 1055
06:31:29 - 29.07.2021
July 2021 Patient Safety Update
Note that all practices should now register for the new LFPSE service which has replaced NRLS. Details of how to do so are included in the update.
06:30:06 - 29.07.2021
BfN Summer Holiday Support Groups
Please find attached details of the Portsmouth Breastfeeding Network current Summer Holiday programme.
06:29:00 - 29.07.2021
Rowlands Pharmacy Consolidation
The CCG has received notification from NHSE PCSE of a consolidation between two branches of Rowlands Pharmacy in the city. Please see attached for details.
11:24:21 - 27.07.2021
Below are details of training opportunities available for GP practice staff.
Please bookmark this page and check regularly for updates.
You will also be alerted to new courses added via the GP Bulletin Primary Care Connect weekly newsletter.
Managing and implementing change and new process
Handling challenging conversations in the workplace
08:02:07 - 27.07.2021
Updated VITT pathway
Further to previous correspondence regarding the stand down of the current VITT Pathway please see attached the final version.
The pathway includes a requirement for practices to print off the embedded blood request form to accompany blood samples being sent to pathology at QA. This will enable the pathology department to easily identify the VITT requests from other routine blood samples and prioritise these for analysis.
Please also remember that the in-hours the pathology department will be using GP practice bypass numbers to contact practices with any positive results so that patients can be followed up.
The LMC are supportive of this change on the basis that the pathway requirements are followed. The CCGs will continue to monitor the situation so that if there is any feedback that is causing issues then the system will agree to look at this again. Please would you ensure that any concerns are immediately raised on Quasar.
07:59:07 - 27.07.2021
Weekly MARAC (Multi-Agency Risk Assessment Conference) Notifications
Details of a change to MARAC from fortnightly to weekly.
15:15:24 - 23.07.2021
NHS e-Referrals - User research into e-RS specialities and clinic types
The NHS e-Referral Service (e-RS) is reviewing the current list of specialties and clinic types. This survey is designed to understand how relevant they are in meeting your day-to-day requirements.
Your response will help us make ongoing improvements to e-RS according to your needs.
Please complete this survey HERE.
Thank you for your time helping with this important piece of work.
With kind regards
15:14:00 - 23.07.2021
Update on pressures in advance of weekend
Health and Care Portsmouth are asking local people to think about how community mental health services could look and feel very different. The project aims to make accessing mental health care simpler, smarter and more joined-up, so there is ‘no wrong door’ for getting support.
15:12:40 - 23.07.2021
National Diabetes Prevention Programme
Are you involved with referring patients to the Diabetes Prevention Programme? Join this webinar on Tuesday 3rd August at 1-1.45pm.
Register your place here: https://www.eventbrite.co.uk/e/ingeus-and-the-ndpp-tickets-163032652051
- Although there is no upper age limit for the programme extra care is taken with patients who are over 80 to make sure the risk / benefit is favourable for referral to a programme likely to result in weight loss. The referral form will be changing with consent tick box for over 80s to reflect this. For people already on the programme or currently paused or deferred, no retrospective confirmation from General Practice will be required. New referral form will be uploaded to Ardens once available.
- Please see embedded comms for further updates & information.
15:05:15 - 23.07.2021
Microsoft update article – corrected link to instructions for manual installation - please share
It has come to my attention that the link (instructions for manual installation) in the following story from this week’s GP Bulletin, Primary Care Connect, was broken:
To address a critical security issue affecting Windows computers, Healthcare Computing is currently deploying a security update to all computers in practices.
To assist with this, we are asking practices to ensure all workstations are left switched on and logged out overnight on both Wednesday 21 July and Thursday 22 July.
Any laptops in the practice should be left switched on and connected to the practice network using a network cable. Laptop users at home can manually install the update by following the instructions.
Here is the correct link - https://www.healthcarecomputing.co.uk/wp-content/uploads/2021/07/HC_HIOW_Manually-installing-20H2.pdf
My apologies for any issues this has caused.
Communications and engagement manager
Working in South East Hampshire/Isle of Wight
NHS Hampshire, Southampton and Isle of Wight CCG
19:49:18 - 22.07.2021
COVID-19: management of staff and exposed patients or residents in health and social care settings
Final version of our Portsmouth process for exceptional requests for exemption from isolation for health and social care staff. This includes primary care commissioned by the CCG too.
19:48:06 - 22.07.2021
Please find attached the Portsmouth CCG Safeguarding Team July Newsletter. Included this month:
- Four important cases brought to the court of protection regarding Covid 19 vaccinations.
- New regional campaign aimed at children to build digital resilience
- What is a MARM?
- Target training – save the date
- 4LSAB multi agency fire safety framework training
- Stop domestic abuse – changes in Portsmouth domestic abuse support services
Supporting GPs with regard to child in nee/child protection plans
19:46:36 - 22.07.2021
DESMOND – Diabetes structural education
The Community Diabetes team is now able to offer Face to Face Desmond sessions. These session take place on Fridays at Buckland Community Centre, 9.00am – 3.30pm.
The team will continue to offer MYDesmond online for those who are not able to attend the face to face group session.
MYDesmond will also be offer as a follow up to Desmond face to face sessions.
13:36:42 - 21.07.2021
Cancer Clinical Decision Support (CDS) tool general practice survey
Would you all be able to help cascade a survey among your primary care contacts to help us understand the use of Clinical Decision Support tools for Cancer within general practice. This is to help inform the commissioning decisions within the Wessex Cancer Alliance around CDS tools and whether existing tools are being utilised or not. So far we have had 21 responses across Wessex so we are really keen to increase this.
The survey has now been set live and it is available via this new story on Wessex AHSN site:
There is also attached a jpeg poster that can be shared out that shares the same information and a direct link to the survey (either via the QR code or web-link).
The survey will remain open until 5th August 2021.
Cancer Research UK
15:00:20 - 20.07.2021
Heat-Health Alert - Hot Weather Alert - Alert Level 3 20th July 2021
Please see the latest update.
14:52:11 - 20.07.2021
ENT – Rhinology Proforma
To support referrals to Rhinology, a new Rhinology referral form was developed by the ENT Department at Portsmouth Hospitals NHS Trust.
Please can you ensure that all patients referred with sinonasal problems, already had maximal medical treatment prior to the referral.
The new referral form will be available on Ardens Communication template in the next few days.
14:47:28 - 20.07.2021
On Demand Availability of Palliative Care Drugs
The ‘On Demand Availability of Palliative Care Drugs’ locally commissioned service has been renewed until the end of March 2022 with Laly’s Guildhall Walk and Drayton Community Pharmacy. The service specification is attached for reference.
12:28:13 - 16.07.2021
Heat-Health Alert - Hot Weather Alert - Alert Level 2
Hot weather alert from the Met Office.
17:09:45 - 15.07.2021
Your COVID Recovery Online Rehabilitation Platform – Provider Feedback Workshop (Experiences of Digital Rehabilitation)
The Clinical Policy Unit at NHS England and Improvement and the University Hospitals of Leicester are seeking feedback from service leads and clinicians of providers who are using the ‘Your COVID Recovery’ online rehabilitation platform as part of their delivery of post-COVID services.
Learning from your experiences, the team will be able to make informed decisions with how the platform could evolve to better support patient rehabilitation.
The Clinical Policy Unity will be jointly hosting and facilitating an invitation only Feedback Workshop on Tuesday 20th July 2021. 16:00 – 17:30.
Please pre-register at:
Bookings will close at 09:00 on Tuesday 20 July 2021. Please register with your NHS or work email address to avoid a delay in receiving the joining link. Microsoft Teams joining details will be circulated by 15:30 on Tuesday 20 July 2021.
17:08:32 - 15.07.2021
SE7344: General Practice Enhanced Service Specification for phase 3 of the COVID-19 vaccination programme
This has been circulated to all practices. Please find link to General Practice Enhanced Service Specification for phase 3 of the COVID-19 vaccination programme.
17:06:38 - 15.07.2021
Heat-Health Alert - Hot Weather Alert - Alert Level 2
Hot weather alert from the Met Office.
14:48:43 - 14.07.2021
Helping children develop key skills ready for Year R
Please help to promote this message to any professionals who work with families. This is a key part of recovery activity as we are hearing evidence of young children not being able to manage some fairly basic tasks when they start school, due to the disruption of family life and nursery and pre-school attendance during the pandemic.
With over 2,000 children due to start school in Portsmouth in September, local teachers and pre-school staff have developed 'Ten top tips for starting school' for parents and carers to help their children to develop key skills over the summer, ready for Year R in September. Please signpost any relevant patients to the website for ideas and support for each tip.
14:46:18 - 14.07.2021
Public Health England Advice - Afghan Scheme
PHE have produced the attached advice for primary healthcare professionals about supporting individuals who come to the UK under the Afghan Scheme once they are dispersed. More information to come but Portsmouth will receive Afghan families. The number is expected to be small and arrivals are due in July at some point.
14:43:58 - 14.07.2021
Kooth PLC - National GP Webinars
Kooth PLC, the nation's leading digital mental health provider, are running webinars on 18,19 & 23 August to highlight the benefits of Kooth.com (commissioned in Portsmouth for young people) and Qwell.io (for adult cohorts, not commissioned in Portsmouth).
These national information webinars are for all GPs, Practice Managers and Healthcare Professionals interested to find out more about the two services. You can see dates and register for the sessions here. There is also a document with further details on PIP.
16:26:26 - 09.07.2021
CHILDREN’S COMMUNITY NURSING (CNN) COAST TEAM
The acute hospital are experiencing a high level of demand in paediatric ED and CAU, some of which could be managed within the COAST service.
Please can we remind practices that the Children’s Community Nursing (CNN) Teams COAST service is accepting direct referrals from GP’s following a face to face consultation and have one of the following HRG’s –
- Chest Infection
- Viral induced wheeze
- Exacerbation of asthma
Attached is the amended referral form.
16:24:53 - 09.07.2021
Stand down of VITT Pathway
Further to previous e-mails regarding the stand down of the current VITT Pathway, please find attached the final version.
I would like to take this opportunity to remind you that the pathway includes a requirement for you to print off the embedded blood request form to accompany blood samples being sent to pathology at QA. This will enable the pathology department to easily identify the VITT requests from other routine blood samples and prioritise these for analysis.
Please also remember that the in-hours the pathology department will be using GP practice bypass numbers to contact you with any positive results so that patients can be followed up.
The LMC are supportive of this change on the basis that the pathway requirements are followed. The CCGs will continue to monitor the situation so that if there is any feedback that is causing issues then the system will agree to look at this again. As such, once the revised pathway is operational from 00:01 am on Monday 12th July please would you ensure that any concerns are immediately raised on Quasar.
Transformation Manager, Unscheduled Care and System Resilience
Working in Portsmouth and South East Hampshire as part of the
Hampshire, Southampton and Isle of Wight CCG
Commissioning House, Fort Southwick, James Callaghan Drive, Fareham, Hampshire, PO17 6AR.
13:48:26 - 07.07.2021
Stand down of VITT Pathway
Update & revised version of pathway.
13:45:11 - 07.07.2021
Medical Examiner Service - Extension to Community Deaths
You may be aware that we have been running a Medical Examiner service at QAH Portsmouth since November 2019, covering all deaths at PHUT. We have now been mandated to extend this scrutiny of deaths to the community with a target of April 2022. This is in line with the planned legislation to make the service a statutory obligation by the end of 2022. This is described in the recent letter from NHS England (attached).
We will start reviewing deaths at the Rowans Hospice on 1st July and are already in discussions with Solent and Southern Trusts. The plan is for a stepwise roll out of the service and as such I am keen to get in touch with a GP group in the Portsmouth area which would be willing to pilot a scheme. In addition, towards the end of this year I will be advertising for further Medical Examiners (we will ultimately need something like 10 doctors providing 40 hours of work) and would like to encourage applications from doctors working in Primary Care. Please contact me direct if you would like to be considered for the pilot.
Dr Sean Elliott
Lead Medical Examiner, Portsmouth
11:35:19 - 07.07.2021
GP Commissioning Meeting - 6th July
PowerPoint & recording from online commissioning meeting held on 6th July.
16:27:38 - 02.07.2021
Use of lateral flow devices for asymptomatic staff testing SOP and FAQs
Please see the attached FOR URGENT CASCADE to Primary Care.
16:24:50 - 02.07.2021
Rapid Investigation Service: Primary Care Feedback Survey and Service Information Re-Fresh
Firstly, many thanks to all colleagues in primary care who have worked with us to design, implement and utilise the Rapid investigation Service and non-specific symptoms pathway.
We have now reached the one year anniversary of the initial soft launch of the service and it feels timely therefore to re-fresh information given to practices and to also see if you have any feedback you would like to provide the service to help us to continue to develop and improve.
Please find attached some documentation with some key points and information based on feedback and interaction we have had with primary care during the last year, we hope you find that useful and please share with your teams.
Please could we invite you to complete the following survey which is estimated to take around 10 minutes to complete to help support the continued improvement of the service for our partners and patients: https://www.surveymonkey.co.uk/r/CPLWBMH
21:08:23 - 01.07.2021
Stand down of VITT Pathway
20:58:16 - 01.07.2021
Change of provision for victims and perpetrators of Domestic Abuse in Portsmouth from 1st July
From 1st July there is a change to domestic abuse support services in Portsmouth. Please can you update your records and forward as appropriate.
20:54:30 - 01.07.2021
Child Exploitation Newsletter
Please find attached the quarterly professionals update from the HIPS Child Exploitation Group.
Included in this edition is information on:
- The Violence Reduction Unit—Six Key Areas,
- The Voice of the Child,
- Youth Commissioners’ update— The Big Conversation,
- Lurking Trolls launch update,
- Disruption Activity,
- Hotel Watch
20:52:17 - 01.07.2021
Online Consultation Supplier Events
The South East Region recently hosted two Online Consultation supplier ‘deep dive’ sessions providing an overview and roadmap of their systems followed by questions and answers, also practices shared their learning and experiences of the products.
Both sessions were recorded and can be accessed by clicking the links below:
Deep Dive Supplier Event – ASK NHS & Footfall
Deep Dive Supplier Event – eConsult and AccuRx
20:51:06 - 01.07.2021
We continue to work closely with primary and secondary care colleagues to support the 2ww pathway. Recent feedback has identified that there are some delays with patients having the pre-requisite blood tests required to support their onward safe pathway to early diagnosis.
Portsmouth Hospitals NHS Trust have agreed that due to the urgent time frame requirement for 2ww blood tests, the walk-in service at Queen Alexandra Hospital is available for 2ww patients requiring cancer specific blood tests, when this capacity is not available in the community phlebotomy clinic provision.
We appreciate that referrers are often extremely busy, and we value your support in ensuring the safe and timely investigation of your patients
07:27:37 - 29.06.2021
4LSAB Safeguarding Concerns Guidance
The multi-agency framework to support decision making in relation to adult safeguarding concerns has been published by the four local adult boards. The safeguarding team have produced this brief overview of the document.
07:25:37 - 29.06.2021
Asylum Seeker & Refugee Health Rapid Read
Please find attached the Asylum seeker and refugee health rapid read from NHS Safeguarding.
This edition includes asylum seeker and refugee definitions, the importance of being trauma informed & cultural competence and common health challenges of refugees and asylum seekers. There is also guidance on refugee & asylum seeker entitlement to primary care.
Additional links include the government paper on how many people are granted asylum in the UK and the British Medical Association toolkit for Refugee and Asylum Seeker patient health.
07:24:10 - 29.06.2021
Safeguarding Newsletter June 2021
June edition of PCCG’s Safeguarding newsletter.
07:23:15 - 29.06.2021
Guidance for healthcare professionals on return to work for patients with long-COVID
This guidance is aimed at managers and employers to assist them in facilitating the return to work of employees who may find this difficult because of long-COVID. To access this guidance: longCOVID_guidance_03_small (fom.ac.uk)
17:36:57 - 24.06.2021
Salts Medilink Stoma Nurse Team
Salts Medilink Stoma Nurse Team provides a bespoke stoma nursing service. This aims to enhance stoma patient outcomes and improve quality of life through ongoing patient-centred care and support for all stages of the patient pathway.
This service is available to anyone who has had the formation of colostomy, ileostomy and urostomy.
A referral may be sent to the nurse by a healthcare professional or a self-referral can be made.
For further information please see the attached leaflets:
Stage 3 leaflet – for patients who need help/advice
Stage 1 leaflet – for new post op urology patients
17:34:37 - 24.06.2021
Online Events - NHS S E Leadership Academy
The following free online events from the NHS South East Leadership Academy might be of interest to you:
Wednesday 30 June 2.00-3.30pm - Understanding trauma in healthcare - what leaders need to know about how to support their staff and themselves.
Tuesday 13 July 9.30-11.00am - Leading Hybrid Teams in Primary Care
17:33:45 - 24.06.2021
Help Shape NHSX's Data Strategy
NHSX’s strategy, Data Saves Lives: Reshaping Health and Care with Data aims to ensure the benefits and progress from using data and technology during the COVID-19 pandemic continue in the future. You can read a draft copy and have your say here
17:32:58 - 24.06.2021
Primary Care Workforce Wellbeing Survey
NHS England has commissioned the Institute for Employment Studies (IES) to conduct a study of the wellbeing of the primary care workforce. The short survey is the third in a series that are being used to assess current wellbeing of the primary care workforce. NHS England have used the results of this research to continually improve the coaching support, such as increasing the availability of support. You can take the survey here.
17:31:57 - 24.06.2021
Referring Minor Illness Patients to a Community Pharmacist
The NHS Community Pharmacist Consultation Service (CPCS) enables patients to be referred for a confidential same-day minor illness consultation with a pharmacist.
The attached briefing note provides more information.
16:05:43 - 23.06.2021
Standard Operating Procedure for the Surgical assessment Ambulatory Care Unit (SAUA) at Queen Alexandra Hospital
Please see attached the embedded Standard Operating Procedure (SOP) document that provides guidance for the working process of the Surgical Assessment Ambulatory Care Unit (SAUA). It describes the criteria by which patients are identified as suitable for assessment in SAUA and also details of the referral process.
Referrals from GP, SCAS and interdepartmental Clinical Nurse Specialists:
08:00 - 20:00 are accepted via the Surgical Emergency Nurse Practitioner (SENP) carrying Bleep 1407.
20:00 - 08:00 are accepted via the On Call SPR carrying Bleep 1055.
16:03:32 - 23.06.2021
Management of Children presenting to Primary Care during the Covid Pandemic Guidance
This document aims to give clear guidance on how to manage the extra demand in paediatric presentation, ensuring children are seen in the right place at the right time in an environment that is safe to patients and staff. Please see embedded document for further detail.
16:02:08 - 23.06.2021
Enhanced Support to Care - June Newsletter
This first edition is primarily an introduction to the service and how it is currently working.
We would like to be able to demonstrate the impact the Enhanced Health in Care Homes (EHCH) model is having on both residents and the heath and care services caring for them. This includes sharing the perspectives of different teams involved in delivering the service and featuring relevant case studies.
07:03:52 - 23.06.2021
GP Complaints Training 2021
NHS England is hosting complaints training sessions for GP practices, taking place from September to November this year. Portsmouth and Southampton is in October 2021. Practice Mangers or GP’s wishing to attend can book a place, below:
- 21 October 2021 - Holiday Inn Portsmouth,
Pembroke Rd, Portsmouth PO1 2TA
- 22 October 2021 – Novotel Southampton,
1 W Quay Rd, Southampton SO15 1RA
They will also be hosting further training sessions in different areas of the country in early 2021, which will be advertised in the coming weeks.
07:02:20 - 23.06.2021
Dealing with increasing demand for online consultations
The South East Primary Care Digital First Programme recently launched an online guide in order to support practices managing their online consultation demand. Alongside this, a webinar was offered to help practices identify the steps to successful implementation of their online consultation system and incorporate it as part of their total service provision, it also included top hints and tips to make this a seamless process for practice staff and patient.
A resource pack which includes the recording of the webinar and slides mentioned on the session can be found here
07:01:22 - 23.06.2021
CYP and MH difficulties as we emerge from lockdown
At national level, we are seeing some worrying signs that children and young people may be struggling with their mental health as we come out of this recent lockdown. We are asking all our services to be extra vigilant during this time. National colleagues have put together the attached resource pack to signpost to the support and help available. Prathiba Chitsabesan, NHS England’s Associate National Clinical Director for Children and Young People’s Mental Health, has written a blog on lockdown lifting which practitioners may also find helpful’.
17:21:35 - 22.06.2021
Please see attached updated TARGET programme for tomorrow’s TARGET event.
Unfortunately, the Pathology session has been removed from the programme. The NHS Resolutions talk will start straight after the Heads-up slot at 2pm, finishing the day at 3pm.
Primary Care Education Support Manager
12:57:46 - 18.06.2021
During the pandemic some patients were started on oral cyanocobalamin as an alternative Vitamin B12. Please review any patients who have been started on oral cyanocobalamin when they were unable to have hydroxocobalamin injection with a view to converting them back to hydroxocobalamin injection. Please note that cyanocobalamin is not on the Portsmouth Area Formulary and hydroxocobalamin injection is more suitable for Vitamin B12 replacement or pernicious anaemia as it is retained in the body for longer.
15:52:28 - 17.06.2021
Learning from a Maternal Death and a homocide
Hampshire, Southampton and IOW CCG has shared the attached learning for GP practices from two significant events which have identified learning for all Primary Care practices.
Please can you discuss these learning documents within the practice to identify:
- Could this happen in our Practice?
- What mitigations do we have in place to prevent a similar incident for occurring?
- Are there any actions we need to put in place?
Key actions from these events were:
- Document clinical sign-posting provided over the phone (this is a repeated theme from significant events)
- Instigate a documented system/ process for managing eConsults (clinically led; minimum standard for red/amber flags to be reviewed by a clinician)
- Reception/administration staff should receive formalised training in reviewing and escalating eConsult forms (supported by a formalised process)
- eConsult should be used to support clinical triage - it cannot be the sole source of clinical information
- Systems to fill eConsult appointments based on clinical triage outcome (not ‘first come first served’)
- Educate staff to provide VTE risk advice to new mothers who are COVID-19 positive/isolating
- Training and support to staff members on confidentiality processes and the difference between receiving information regarding an individual from a third party and giving information to a third party
- All mental health related discharge summaries to be sent to the named GP (or buddy) for review
There has also been a recent HSJ article which practices may wish to be aware of Coroners call for changes to IT systems after two suicides | News | Health Service Journal (hsj.co.uk)