Somerset LMC Weekly Update Friday 14th December 2018
Date sent: Friday 14 December 2018
Sent to all Somerset GPs, Practice Managers and Lead Nurses This and previous updates are available here
- A Tale of Two Geoffreys extra blog from LMC Chairman Dr Nick Bray
- EMIS Viewer
- 100 day Endoscopy Challenge (YDH)
- The Cameron Fund Christmas newsletter
- Top Tips Flu
EMIS Viewer: Mandatory Change To EMIS Viewer: GDPR and Data Protection Act 2018 changed the conditions for patient consent. Colleagues will recall that the whole concept of “implied consent” has gone and healthcare being no exception if working under informed consent this needs specific drafting in great and individual detail for each patient and each circumstance. However in healthcare we can share data under the GDPR Articles on statutory obligations such as the NHS Acts. For EMIS Viewer to comply with this legislation clauses on specific patient consent need to be removed from Friday 1 February 2019. This EMIS Viewer consent changes document explains why this must happen but reinforces the need to ensure the patient is informed of this information sharing service.
Optional Change To Publishing Free Text On EMIS Viewer: The LMC endorses publishing all free text entries in EMIS Web on EMIS Viewer. Secondary care clinicians knowing more about GP consultations can benefit patients. The CCG has presented this proposal to practices and all in attendance have agreed that publishing free text is useful. Hospital clinicians have told us that, although EMIS Viewer without free text is of value (and has been used over 50,000 times so far), seeing more information would be much more useful: it can stop them needing to contact practices for information. Furthermore this is in line with other EMIS Viewer services running for years in Bristol and Liverpool. Literally millions of patient records have been viewed with no complaints about third party confidentiality yet reported. Free text can only be enabled in EMIS Viewer if ALL GP Practices agree as the EMIS Viewer tool cannot be customised to provide differing levels of clinical record; it is all or nothing. For all these reasons the LMC agrees that all free text entries, historical and new, be published in ALL existing instances of EMIS Viewer (Phase 1 and 2, and Phase 3) from Friday 1 February 2019. If you have any concerns please email the LMC who can discuss your questions with the CCG IT team. The next CCG GP Weekly Bulletin will have updated Information Sharing Agreements for EMIS Viewer (Phase 1 and 2, and Phase 3) reflecting both the changes detailed above which you are asked to note and place on file. Signed copies will not be required to be returned as they intend to operate by exception only. They will also attach the updated EMIS Viewer fair processing notice and posters for public display in your practice.
100 day Endoscopy Challenge (YDH): Many will now be familiar with the 100 day method to rapidly test innovative ideas that offer opportunity to break new ground, share learning with colleagues and inform future practice nationally. They are keen to engage primary care and are able to offer money to release clinicians to take part in the project. At present there are two project teams meeting weekly for an hour on Friday. For further information please contact: Rebecca.firstname.lastname@example.org 01935 381961 or 07824 351991.
Top Tips Flu: The LMC resilience team have identified a few areas they have come across while visiting practices that could be helpful to all to look at
- The practice Protocols have not been updated since last year
- New protocols have not been uploaded once written
- EMIS codes being used in protocols instead of the codes published in the business rule set
- For Seasonal flu the code 65ED must be used but some practices are using 65E which is influenza vaccine given
- The incorrect prescriptions are being issued and potentially claimed through PPA. The Pfizer trivalent vaccine is reimbursed at £6.59 if Fluad was given this would have been reimbursed at £9.79 therefore a potential loss of income.
- Practices should check that the PPA claims and CQRS claims for the numbers of flu match.
- The more complex the protocols the more possibilities of error.
- District nurses – if they are using your stock make please sure the vaccine is claimed through PPA and NOT through CQRS, they should be coded as “given by other health professionals”
- Children 6m-18years who have been given the vaccine instead of the nasal, can be claimed for under CQRS but NOT claimed on the PPA as this has been supplied by immform.
- Coding of vaccines given at the practice, and then pharmacy forms coded as given at pharmacy.
- Do ensure you stock take throughout the flu season
W1A: After last week’s fragment of NHS management jargon imitating the art of comedy we have received the following from a Practice Manager who has been reading the NHS Digital Toolkit. “9.3.1. The annual IT penetration testing is scoped in negotiation between the business and the testing team, and uploaded.” Something to look forward to?
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