Somerset LMC Weekly Update Friday 1st February 2019
Date sent: Friday 1 February 2019
All Somerset GPs and Practice Managers This and previous updates can be found here
The LMC Office is currently closed, we are all available on e mail, but if need to call please phone my mobile 07887 566510
- New Five Year Contract
- "Elephants" the latest blog from LMC Chairman Dr Nick Bray
- Somerset LMC Winter Newsletter
- Outcome of the GP Survival / NHS England pensions meeting This will be of interest to GPs particularly those who are Sessional
- Falsified Medicines Directive Guidance
- Update on Transformation Monies
- Update on Seasonal Flu Vaccines
- Deputy Executive Director Somerset LMC
- And Finally...
NEW FIVE YEAR CONTRACT: Yesterday, as the Newsletter leader suggested, the new GMS contract was announced and before the start date too! There will be a DES for working in networks with direct funding at various levels of recurring funding for shared staff with an ambition that some 200 will be able to join clinical teams in Somerset by 2020 realising ambitions laid out in the NHS Long-Term Plan. The contract gives practices almost £1bn across five years (c£2m a year in Somerset) while another £1.8bn (c£3.6m) will be invested to support the formation of Primary Care Networks serving 30-50,000 patients. The contract also contains the much awaited state-backed indemnity scheme for all GPs from April so we will no longer having to personally fund clinical negligence cover. There will be radical changes to QOF and funding for GDPR SAR requests something we know will be welcomed by regular readers here. The tide may indeed be turning! Full information here
Falsified Medicines Directive guidance: As we have reported here before the Falsified Medicines Directive will become effective on the 9th February 2019, however we expect there to be a long lead in time and that full implementation will not happen for at least 12 months, although this is still to be confirmed. The Directive introduces tougher rules to ensure medicines are safe and that the trade in medicines is rigorously controlled. This will have an impact on all practices and therefore, they should be preparing for implementation in order to demonstrate compliance with the Directive. Please go to the BMA website for the latest guidance we have.
Update on the transformation monies – you will have seen the item on the bulletin of the 21st January asking practices to sign up to the TIP to start the release of some of the transformation monies to practices . To date 20 practices have signed up and have completed the survey on the 10 High Impact actions. If you missed this please see information below
Creating Vibrant New Working Arrangements – Transformation Implementation Plan: This Transformation Implementation Plan (TIP) encourages practices to work on the GP Forward View High Impact Action (HIA) of “creating vibrant new working arrangements”, using 2018-19 Transformation funding. SPH together with the Somerset GP board have put together this first plan together to enable practices to backfill time for members to engage in the local areas meetings and work on Neighbourhood Teams and Primary Care Home, there is also a payment for completing the ten high impact actions survey by noon on the 28th February . Please ensure that the signed agreements are returned to firstname.lastname@example.org Information on further transformation monies available will be circulated by the end of January.
Practice Index Plus THE CCG have approved funding from transformation monies for a year’s subscription for each practice to Practice Index Plus . We are aware that many practices were already considering joining and this subscription will help practices will policies and procedures to help reduce admin workload and compliance for the CQC. To sign up for membership please email SPH on the following email email@example.com by the 22nd February 2019 confirming your interest, this will ensure that a good deal is reached for the county
Update on vaccines for 2019/20 seasonal flu vaccination programme: NHS England has published an update on vaccines for 2019/20 seasonal flu vaccination programme. As stated previously, QIVe (18 to 64-year olds in clinical at-risk groups and other eligible groups, including frontline health and social care workers) and aTIV (65 years and over) remain recommended. In addition, QIVc (Flucelvax® Tetra), is now licensed for patients from the age of 9 and considered to be suitable for all patients eligible for QIVe and aTIV, meaning one vaccine instead of two. The high-dose trivalent vaccine (TIV-HD) has also been licensed but will not be reimbursed by NHS England due to its high cost. Practices should order the licensed vaccines (aTIV, QIVe and QIVc) for the 2019/20 seasonRead the letter here.
Seqirus has stated that there are plans to have a ‘soft close’ on ordering of adjuvanted trivalent influenza vaccines (aTIV/Fluad recommended for patients aged over 65 years) at the end of February. They are allocating delivery slots and the current ‘week available’ (as of 22.01.19) is the 23.09.2019. Seqirus have confirmed that the aTIV vaccines will be delivered with staked needles.
It is still not too late to keep vaccinating. We have had confirmation from Sanofi Pasteur that they have secured some additional doses of QIV flu vaccinations for use on under 65yrs and appropriate cohorts. Any practices showing QIV supply shortages are asked to contact their local vaccine account manager or Sanofi Pasteur Customer Services on 0800 854 430 to discuss options.
AND FINALLY: As mentioned above the new GMS contract has a system for primary care networks to receive funding for employing staff. It (really is) called the Additional Roles Reimbursement Scheme (ARRS).
Also an amusing typo at 7.10 Network Contract DES will rise...to be worth £1,799 billion in 2023/24. we Love the comma!!
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