ࡱ> IKH[ Fbjbj 0"ΐΐ+ Z Z 8P..!!!!!www-------~/ 2f-wUU"ww-!!4 .GGGw!!-Gw-GG+5-!0V ,- .0P.,62#2$5-5-&2[-wwGwwwww--5wwwP.wwww2wwwwwwwwwZ c:  LMC Swine Flu Pandemic Business Continuity Planning Update 2 (30.07.09) Current Volume of Flu Calls Generally a slight fall this week due to the opening of the National Pandemic Flu Service. Still appear to be few patients with serious illness. Holiday insurance cancellation certificates GPC reports that The Association of British Insurers have stated that they will accept the submission of the antiviral authorisation number and the label from the Tamiflu packet as evidence of a patient having had flu. Medical Certificates for patients with flu Suggestion from London LMCs if a patient requests a medical certificate but has not been seen by the practice during their illness: Use your clinical judgment and if you believe the patient is not 'swinging the lead', issue a MED 5, and under B, cross out the printed words, and insert: "In the current pandemic flu situation based on what the patient tells me" In the diagnosis space write: "Presumed Swine Flu". Document in your own records any 3rd party contacts the patient may have had, and any phone contacts with the practice. Use anti-viral vouchers rather than FP10 prescriptions When you can, although there seems to be some national uncertainty about whether the cost of the medication so provided will be charged to practice / PCT prescribing budgets or borne centrally. We currently believe that electronic vouchers issued directly by the NFPS will not be charged locally. A letter from HPA circulated at the beginning of July (before the 'official' vouchers were available) advised writing "No payment - AV" on FP10s , but we do not know if this still applies. Note that FP10s should still be used for prophylactic treatment. Tamiflu Suspension and Solution Please note that Tamiflu suspension (12mg/ml) is not generally available and that for children under one you should prescribe Tamiflu solution (15mg/ml). When using a NFPS voucher please mark BOTH. Assessment of Children under one year old Just a reminder that such children should be seen and assessed by a GP and not referred to the NFPS. This has apparently been a problem elsewhere in the UK Referral of Maternity patients with possible flu Please make especially sure that if you have a pregnant woman with possible flu who need to be referred to a Maternity Unit the hospital in question is aware of the flu risk and can isolate the patient appropriately. This is obviously good practice for all referrals, but especially important in these circumstances Seeing flu patients in the practice It is becoming clear that it is simply not practical not to see in the practice some patients who may have flu. Where possible you should try to keep such patients physically separated from others, and if space allows it may also now be worth keeping vulnerable patients in a second separation area away from the main waiting room Antiviral Voucher PIN number is NOT your prescription number The Antiviral Voucher asks for a prescriber PIN number, which prescribers were originally told was their prescribing number. It is actually the GMC number for GPs or registration number for non medical prescribers. Swine Flu Poster The PCT have amended the 'Catch it. Bin it. Kill it.' poster to include the contact information for the National Pandemic Flu Service. Laminated copies will be sent to Practice shortly.      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