READ coding of HOUSEBOUND patients on S1

READ coding of HOUSEBOUND patients on S1

The community nursing service is for housebound patients only. Please, therefore ensure that you have checked if the patient could possibly come into the surgery and if not, CODE their housebound status on their records  ( Housebound SNOMED code: 160689007)

Thank you for all your efforts, the Community Team will look for this READ code and we just need to be as efficient as possible to save on rejected referrals.

Managing Women’s Hormonal Health – 09:30 – 12:30, 29 September 2021 – online

Managing Women’s Hormonal Health – 09:30 – 12:30, 29 September 2021 – online

This half-day hot topic event, held online, gives you the opportunity to learn more about the impact menopause can have and discuss approaches to manage this. It’ll take a closer look at menopause management, contraceptive options and managing menopause and mental health.
For further details document please see attached (14 KB) . To book please follow this link: Book your place now

New Patient Education group - Low Carbohydrate Management of Type 2 Diabetes to Achieve Remission

New Patient Education group - Low Carbohydrate Management of Type 2 Diabetes to Achieve Remission

The Solent Community Diabetes Specialist team are delighted to offer your patients group education around low carb management of type 2 diabetes to achieve remission. Patients must meet the criteria outlined in the document attached flyer (14 KB) in order to refer onto the scheme. This is an exciting opportunity for the team to support those who are motivated to act on their diagnosis to achieve remission.

To refer, please use the Community Diabetes referral form, and tick the option “Type 2 Remission Group”. Updated form will be available on Ardens shortly.

If you have any questions, queries please don’t hesitate to contact the Community Diabetes Specialist Nurse team.

Heart Failure e-referral via Advice & Guidance

Heart Failure e-Referrals via Advice & Guidance

Please be aware that the current referral processes to the Portsmouth Hospital Heart Failure team is changing from a Referral Assessment Service (RAS) to Advice and Guidance (A&G) approach.

This change over is planned to happen on the 6th Sept. 2021.

This move is aimed at improving dialogue between primary and secondary care colleagues.

  • The current ‘Suspected New Heart Failure’ form is to be completed and added to the A&G request to enable triage by the clinical teams.
  • Tell a clinical story and ask a question. This should include the expectation from the request – clinical advice to be enacted in primary care, accessing a specialist investigation, etc.
  • Ensure all primary care management options have been exhausted before accessing consultant advice – this includes discussion with a GP within the practice where the request does not come directly from a GP – and ensure the details of this are included in the “story”.

The aim is to improve access to expert knowledge and share clinical understanding across the system, enabling two-way conversations between clinicians to support the delivery of patient management within primary care.

Webinars: Should more women be offered IUS?

Webinars: Should more women be offered IUS?
Presented by: Dr Jane Davis and Dr Radhika Vohra

8th September 2021 - 7:00pm -  8:30pm

To register, please contact:

Sian Piper
+44 7971 225798
This email address is being protected from spambots. You need JavaScript enabled to view it.

Sexual Health Summer 2021 Campaign

Sexual Health Summer 2021 Campaign

Teenage parents are more likely to be living in poverty up to the age of 30 (for more info see Teenage pregnancy prevention framework - GOV.UK (www.gov.uk))

Any unplanned pregnancy has an impact on a young person in many ways, and any STIs undiagnosed can be unknowing passed on and cause complications if left untreated. We also know that understanding 'consent' is important in prevention of harm and to encourage access to support.

Professionals across all sectors working with young people play a really important role in supporting young people access accurate information, support and advice around relationship and sex.  

Therefore, I hope you will help us cascade information about this exciting new campaign (with an innovative new remote clinic option also included) so that wider workforces across our city are able help reduce poor outcomes so that our young people can make informed decision.

document 2021 08 12 Sexual Health Summer 2021 Campaign (74 KB)

 

National Diabetes Prevention Programme update

National Diabetes Prevention Programme update

Youtube BSL sessions for the Healthier You NHS Diabetes Prevention Programme are now available - YouTube and on Stop Diabetes website https://stopdiabetes.co.uk/programme-overview

Sexual Health - NEW! Video C-Clinics for Young People

Sexual Health - NEW! Video C-Clinics for Young People

We are piloting online pop up video C-Clinics for young people aged under 18 living in Hampshire, Portsmouth, Southampton and Isle of Wight.

This is an online video drop-in service to talk to a sexual health team member and aims to support young people with:

  • Condoms and Get it On Condom Cards
  • Contraception information and advice, including how to get emergency contraception
  • Support with prevention of and testing for Chlamydia and other sexuality transmitted infections (STIs)

This clinic is staffed by specialist health promotion practitioners is not to be used for clinical advice or diagnosis.

For more information on the Video C-Clinics, including running times and how young people can access, please visit www.letstalkaboutit.nhs.uk/video-c-clinic

Poster:  pdf 2021 06 16 Solent NHS Video C Clinic Poster (280 KB)

Closure of the Practice Plus Group (PPG) Dermatology Service

Closure of the Practice Plus Group (PPG) Dermatology Service

We notified practices in early May that the dermatology service delivered by Practice Plus Group would stop accepting new referrals, following discussion between the CCG, PHU and PPG around the future of dermatology services. Patients who have already been referred and were waiting to be seen will receive their appointment. We can now confirm that all these patients have been seen and either referred to PHU for ongoing care or written to explaining their treatment at St Mary’s Treatment Centre is now completed.

Portsmouth Hospitals University Trust Dermatology service is now providing a digital first service which will be further enhanced with the delivery of dermatoscopes to practices in the coming month. 

“Shigella trends in England: Free webinar 1-2pm Tuesday 29 June 2021”

Please be advised that HIV Prevention England are running a webinar on Shigella.   documentShigella trends in England: Free webinar 1-2pm Tuesday 29 June 2021” (15 KB)

The intention is to raise awareness amongst health professionals including SRH services but also, importantly, in Emergency Departments and Primary Care etc.  

Please see document attached information (15 KB) for further information.  To register please follow this link  https://bit.ly/hpeshigella

Guidance: Shigella (Shigella: guidance, data and analysis - GOV.UK (www.gov.uk)

Audiology Referrals for Hearing Aid Fitting

Audiology Referrals for Hearing Aid Fitting 

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

To help us manage this, please could we ask practices to advise patients, at the point of referral, that they will not be able to have their hearing aid fitted unless their ears are clear of wax.  Please provide patients with an advice, how they can managed this themselves. (Recommendation to a patient is to purchase olive oil ear drops or sodium bicarbonate 5% ear drops. If symptoms persist, consider ear irrigation using an electronic irrigator providing that there are no contraindications.) Please see attached   document “Removal of Ear Wax Pathway” (60 KB)  for further details.

Also attached is a pdf patient information leaflet (354 KB) , which you might want to give the patient to support these discussions. The leaflet was co-produced with Portsmouth Hospitals but applies to all audiology services within our patch.

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

Thank you for your continued support.

Access to Fast Access Chest Pain Clinic following Cardiology A&G

Access to Fast Access Chest Pain Clinic following Cardiology A&G

You will be aware of the functionality within eRS that enables the consultant responding to A&G requests to convert the request into a referral. We encourage the Trust to use this feature wherever possible however if following A&G to cardiology it is felt referral to the Fast Access Chest Pain Clinic is required, there is additional information the department requires to enable them to safely triage and assess the patient - potentially virtually - which will would not be available to them from the initial A&G request.

You will therefore receive a message back from Cardiology asking you to refer to the service using the proforma available on Ardens, as the most effective option for providing all of this relevant information. Please be assured that if referral into other cardiology clinics is indicated, the service will continue to convert these for you.

Solent - Changes to services 17.5.2021

Please see attached the latest version of the spreadsheet Solent Directory of Services (DOS) (64 KB) , which indicates changes to current services.  This can be searched by service, location and service line.

Since this information was last circulated, there have been changes to the following services / facilities.

Bladder & Bowel Service

  • Level 1 clinics to be re-instated where it is deemed necessary for a face-to-face appointment.
  • Level 2 clinics will continue to be completed over the telephone.

Diabetes Type 2 Prevention - two virtual events

NHS Diabetes Prevention Programme we will be hosting  document two virtual events (15 KB) during Type 2 Diabetes Prevention Week next week. Please see attached for further information.

1. For healthcare professionals: Preventing Type 2 diabetes in 2021 and beyond – a virtual event for healthcare professionals

When: Monday 10 May 2021, 5 – 6.30pm
Click here to register for the event.

 2. For patients: A tweet chat featuring Professor Partha Kar.

When: Thursday 13 May 2021, 5 – 6pm
Where: @NHSDiabetesProg on Twitter

 

Portsmouth Hospitals NHS Trust Ophthalmology Department - Use of general enquiries mailbox

Portsmouth Hospitals NHS Trust Ophthalmology Department - Use of general enquiries mailbox 

It has come to our attention that a general enquiries mail box held by the Ophthalmology Department at Portsmouth Hospitals NHS Trust is being used by practices to ask for patients appointments to be expedited.

This email address is not encrypted so should not be used for sharing patient identifiable information.

The department is continuing to work through their backlog, ensuring that patients with the greatest clinical need are seen as quickly as possible. The Clinical Director has asked that if your patient is experiencing a significant worsening of symptoms that may change the urgency, please notify the relevant subspecialty via letter. Medication queries for patients already known to the service can also be sent to the consultant directly by letter.

Patients with significant vision deterioration will need reassessment. If acute/urgent this should be done via eye casualty.  If gradual, reassessment can be done by the optician.

We appreciate the pressure primary care are under to manage patients expectations around long waits for treatment and we continue to work with the department to support them in their recovery. Thank you for your cooperation.

 

Cessation of the Practice Plus Group (PPG) Dermatology Service

Cessation of the Practice Plus Group (PPG) Dermatology Service

With immediate effect the dermatology service delivered by Practice Plus Group has ceased accepting referrals. Patients who have already been referred and are waiting to be seen will receive their appointment.

Portsmouth Hospitals University Trust Dermatology service is now providing a digital first service which will be further enhanced with the delivery of dermatoscopes to practices in the coming month. A large proportion of the patients referred to Practice Plus Group previously ended up being onward referred to secondary care, creating an additional step for the patient which will now be much more streamlined.

 

Solent - Changes to services 7.5.2021

Please see attached the latest version of the spreadsheet Solent Directory of Services (DOS) (65 KB) , which indicates changes to current services.  This can be searched by service, location and service line.

Since this information was last circulated, there have been changes to the following services / facilities.

Dental

  • Routine appointments and walk-in slots (on the day appointments) will be reinstated for the nurse clinics in line with original model of patient care before Covid 19.

Sexual Health

  • Outreach services is being reinstated
  • Community delivery is being reinstated

(for further details please see attached)

A&G for Upper GI via the General Surgery and Upper GI RAS

A&G for Upper GI via the General Surgery and Upper GI RAS

As you know, Upper GI moved over to a Referral Assessment Service (RAS) on e-RS at the end of March.

Since this move the Gastroenterology team have had an increased amount of Advice and Guidance requests submitted to them which are addressed to Upper GI.

Advice can still be asked of the Upper GI team, via the General Surgery and Upper GI RAS. GPs need to send for a triage rather than advice please.

We would appreciate, if you could please share this information with all GPs and secretaries. Thank you.

NHS Diabetes Prevention Programme Webinar by Ingeus (provider of ‘Healthier You’): Wednesday 12th May 1-1.45 pm

NHS Diabetes Prevention Programme Webinar by Ingeus (provider of ‘Healthier You’): Wednesday 12th May 1-1.45 pm

Please see attached document poster (4.33 MB) for details and event registration.

 

Insulin Safety Week 17th - 23rd May 2021 - free licences for the online Cambridge Diabetes Education Programme (CDEP)

To gain access to the free licences for the online Cambridge Diabetes Education Programme (CDEP), you can sign up by following the instructions in the attached flyer and by using the REGISTRATION KEY CODE: HIOWCDEP  

The study programme has 5 levels and is therefore suitable for variety of staff (HCAs, receptionists, students, psychologists, care workers, practice nurses, GPs, paramedics, diabetes link nurses, diabetes podiatrists / midwives / pharmacists……..)

The latest topic on Insulin Safety Week aims to raise awareness of insulin safety among healthcare staff and runs from the 17th - 23rd May 2021.

For further information on how to register please see attached.

pdf CDEP registration info (462 KB)

pdf CDEP flyer - HIOW (530 KB)

 

Pulse oximetry for people with darker skin

Pulse oximetry for people with darker skin

There have been some reports on the accuracy of pulse oximeters for people with darker skin. Medicines and Healthcare products Regulatory Agency (MHRA) guidance published on 26 March notes that it is possible that patients with lighter skin may have small differences in the result reported when compared to those with darker skin (along with other well-known factors), however, they are not aware of any incidents where skin colour has had an adverse effect on the use of pulse oximeters when providing effective clinical care.  

Existing guidance on COVID Oximetry @home and COVID virtual wards takes this potential factor into account by recommending recording of baseline readings and monitoring trends, as well as using clinical judgement to remain vigilant for other signs of deterioration. Therefore, it remains important that everyone who could benefit has access and support to use pulse oximetry effectively at home to identify silent hypoxia. Please contact This email address is being protected from spambots. You need JavaScript enabled to view it. with any queries about remote monitoring using pulse oximetry.

COVID-19 has fundamentally changed the way health & social care services are delivered at a time where self-care has also revealed itself as the critical answer to tackling the pandemic. Self-care praxis remains largely understudied, and in particular how the attitudes of health & social care staff may have changed with respect to embedding good health-seeking self-care behaviours in the clients they serve in the new setting.

Imperial College London Self-Care Academic Unit (SCARU) is conducting a qualitative research study to explore this further. Please take a moment to review the Participant Information Sheet of this study which also has ethical approvals in place

Webinar on Blood Pressure @home: Steps to success - on Tuesday 20th April at 2.30pm – 4.30pm.

Webinar on Blood Pressure @home: Steps to success -  on Tuesday 20th April at 2.30pm – 4.30pm.

Dr Shahed Ahmad, National Clinical Director for Cardiovascular Disease Prevention will be chairing the ‘Blood Pressure @home: Steps to success’ webinar which will walk-through the practicalities of the Blood Pressure @home Standard Operating Procedure, followed by examples of how GPs and local areas have targeted specific vulnerable patient cohorts. 

Who is this aimed at:

This session is aimed at GP practice and Primary Care Network business managers and clinical directors, and Clinical Commissioning Group cardiovascular disease prevention colleagues or similar roles. 

Find out more and register here: https://www.events.england.nhs.uk/events/blood-pressure-home-steps-to-success-webinar

Webinar on CVD Proactive Care Frameworks – Primary Care – on Thursday 22nd April at 10-11am

Webinar on CVD Proactive Care Frameworks – Primary Care – on Thursday 22nd April at 10-11am

UCL Partners and the British Heart Foundation invite you to join a webinar to learn more about practical tools and resources helping primary care teams proactively support patients to manage high risk conditions including hypertension and cholesterol.

Who is this aimed at:

The webinar is aimed at Health Care Professionals working within Primary Care Teams: Health Care Assistants, GPs, Practice Nurses, Clinical Pharmacists, Paramedic Practitioners etc

About the Frameworks

  • Workforce education and training: The tools provide protocols, guidance, videos and virtual training sessions to upskill the breadth of primary care team members to proactively support patients.
  • Digital resources: There are a selection of clinically appraised digital resources to support patient activation and self-management in the home setting.
  • Search and risk stratification: The tools can be used with EMIS (and SystmOne to follow), to help stratify patients into those at low, medium and high risk.

View the CVD tools here    Register for the webinar here: Register for the webinar

The webinar will be chaired by Helen Williams, Consultant Pharmacist and National Specialty Adviser for CVD Prevention, and will be providing information about how the tools can be used to help you support patients.  Questions about the webinar? Name: Sian Martin . Email: This email address is being protected from spambots. You need JavaScript enabled to view it..

Solent Service changes - update 12.4.2021

Please see attached the latest version of   spreadsheet the Solent Directory of Services (DOS (62 KB) ), which indicates changes to current services.  This can be searched by service, location and service line.

Since this information was last circulated, there have been changes to the following services / facilities.

Bladder & Bowel Service

Level 2 patient care will be reinstated using a combination of remote consultations and out-patient clinics (where necessary).

Level 1 (product assessment and delivery) capacity will improve as a redeployed member of staff returns. This will focus on remote consultations but also include face to face domiciliary visits. Waiting lists for new patients have grown due to re-deployment of staff. Patients on the caseload awaiting review face significant waits of over 52 weeks.

Community Nursing Portsmouth (Nightingale and Seacole)

Seacole and Nightingale to be aligned with the five Primary Care Networks (PCN’s) creating 5 teams: Brunel, Island City, Portsdown, Portsmouth South and Portsmouth North.

These five teams will continue to support and work together as part of a city-wide approach. The alignment will provide continuity and improved care to patients within the community. Providing a wider range of services to patients and allow the Locality team to integrate with the wider Portsmouth Health and Care system.  By working collaboratively, the Community Localities will work alongside the PCN network in order to deliver national service specifications including, enhanced health in Care Homes , supporting prevention of  and  early discharge from hospital, structured medication reviews and anticipatory care planning for End of Life patients.

SALT Adults & Community

A staged return to full BAU service provision  has commenced with remote consultations, face to face assessments and treatments including outpatient appointments and domiciliary visits where necessary, in-reach into care & nursing homes and with full PPE compliance. Staged return will enable utilisation of priority scoring (both NPs and follow-ups) and long waiters.

1 April 2021 Service change - Adult Routine Audiology Services for patients over 55 year old

1 April 2021 Service change - Adult Routine Audiology Services for patients over 55 year old

The Routine Audiology service is changing, from 1 April 2021, all new patients over 55 years of age with routine presbycusis (gradual symmetrical hearing loss, thought to be age related) must be referred to St Mary’s Surgical Centre (Practice Plus Group) only and referrals will no longer be accepted by Portsmouth Hospital University Trust (PHU).

PHU will continue to treat existing routine patients (referred up until 31st March 2021). Once these patients require a new hearing assessment, Audiology at PHU will refer to St Mary’s Surgical Centre and will inform Practices of this referral. All Complex Audiology patients should continue to be referred to PHU for assessment and treatment. Please note any patients requiring audiology treatment under 55yrs are considered Complex by definition and should be referred to PHU only.

Please see the attached pathway and referral forms for additional information. If you have any questions/queries please email  This email address is being protected from spambots. You need JavaScript enabled to view it.

pdf 2021 03 29 Audiology Pathway over 55 years Final 16 3 2021 with a new logo (627 KB)

pdf 2021 03 29 Managing Ear Wax A5 leaflet 20 1165 Sept 2020 (354 KB)

document PCCG213b Complex Audiology Adult Referral Form PHT QA final 30 3 2021 (61 KB)

document PCCG477 Practice Plus Group Adult Routine Audiology referral form OVER 55 years old final 30 3 2021 (34 KB)

Solent - Changes to services 29.3.2021

Please see attached the latest version of the spreadsheet Solent Directory of Services (DOS (61 KB) ), which indicates changes to current services.  This can be searched by service, location and service line.

Since this information was last circulated, there have been changes to the following services / facilities.

Dental

As of 1/4/2021, the plan to reinstate domiciliary care for prioritised/most vulnerable patients unable to access dental care within a surgery setting.

Cessation of Consultant Connect contract

Cessation of Consultant Connect contract

We are writing to inform you that from 13th April 2021, the contract with Consultant Connect will cease. From this date, urgent advice to avoid an admission can be accessed via alternative routes detailed in the document attached document (14 KB) .

Please note, this is for urgent advice to avoid an admission only.

For non-urgent advice when all primary care management options have been exhausted, please continue to use the advice and guidance function within eRS.

Once the contract with Consultant Connect ends, the recordings of the discussion stored in the cloud will no longer be accessible. Therefore, if you are planning to review recordings to update the patient notes, please ensure you do this before the contract expires.

Communication Support Service for Stroke patients run by the Stroke Association will be closing on 31 May 2021

We are writing to make you aware that the Portsmouth Communication Support Service for Stroke patients run by the Stroke Association will be closing on 31 May 2021. The service will continue to support you up until that date as needed.

These decisions are never easy but the number of people using the service has been low and we have other services in the city that pick up several of the elements offered by the Portsmouth Communication Support Service.

The Stoke Association will continue to provide support to people and carers affected by stroke, via the Portsmouth Stroke Recovery Service: https://www.stroke.org.uk/finding-support/support-services/portsmouth-stroke-recovery-service

You can also access support through:

If you have any questions concerning this, please do not hesitate to contact me This email address is being protected from spambots. You need JavaScript enabled to view it.

Referrals to Andrology via ICE

Referrals to Andrology via ICE

Please see below for the most up to date referral processes to Andrology to prevent any treatment delays. Thank you.

  • All ICE requests need to be set to ‘REQ’ on the system please (not as ‘POS’ (postponed))
  • After a request has been made on ICE, please can the patients be directed to telephone the laboratory on 023 9228 6799 to book an appointment
  • Currently, patients are being booked in a 2 to 3-week turnaround from when they phone. This represents about the minimum waiting time due to the need to meet abstention times
  • Due to the need to ensure samples are tested within an hour, Andrology are now only offering an on-site service
  • Those patients with an overseas NHS number – one that begins with ‘7’ – need to be referred to the overseas team at QAH to clarify if a fee is due to be paid before an appointment can be made. It may be helpful to highlight to the patient, at the point of requesting that the test may be chargeable, as it will help prevent awkward conversations when this is mentioned to patients when they phone to make an appointment.
  • The laboratory is not able to provide patients with their results over the phone. Patients will be directed back to the requesting GP to obtain results.

If you require any other information, please contact Hedley Glencross, Lead Biomedical Scientist

on 03292 286737 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

GOS18 Referrals for Cataracts and Optegra/SpaMedica (or other private cataract provider)

GOS18 Referrals for Cataracts and Optegra/SpaMedica (or other private cataract provider)

You may begin receiving GOS18 referrals for cataracts where the optometrist has indicated that the patients wants to go to Optegra/SpaMedica or other private cataract provider. This is usually based on the expectation that these providers can see patients very quickly, even in the current climate. 

We would just like to remind you that these providers do not hold local contracts with the CCGs, which means we have no relationship with the provider and no oversight of their quality or governance processes.  In addition, we have no agreement on the management of complications or emergency support whereas with commissioned services, we have agreements between providers and we are able to monitor instances of adverse events.

Naturally, we do support GPs to have a conversation with a patient who wishes to exercise their right to choose an alternative provider but this must be done through ERS.  In most cases, the Optometrist does not have access to ERS or the full medical history of the patient.  We are finding that a number of providers professing short waits do not accept all patients and published waits do not translate to treatment times.  

As part of the CCGs restoration and recovery work, we are commissioning additional capacity from local providers where we have existing contractual relationships to bring down waiting times in a fair and equitable way.

Locally we commission cataract surgery from our main Acute Trusts and Practice Plus Group.

We have asked the LOC to communicate with local optometrists and ask that they do not to make a provider recommendation on the GOS18 forms.  They can of course inform patients of their right to choose but putting a provider on the GOS18 may raise patient expectations, which cannot be fulfilled, and it cannot currently be a fully informed choice.

We anticipate the LOC’s continued support and trust this is helpful in understanding why we ask everybody to refer via the locally commissioned pathways.  

Information

This site has been created on behalf of Hampshire and Isle of Wight general practice. It aims to provide a single place to access all the COVID-19 information and guidance needed to ensure safe, effective care for patients whilst ensuring the safety and wellbeing of staff and the resilience of practices.

Contact us

Hampshire, Southampton and Isle of Wight Clinical Commissioning Group

Commissioning House, Fort Southwick, James Callaghan Drive, Fareham, Hampshire, PO17 6AR

Email: hsiccg.communications@nhs.net