Somerset LMC Weekly Update Friday 17th May 2019
Date sent: Friday 17 May 2019
Sent to all Somerset GPs and Practice Managers This and previous updates are available here
CCG local contract 2019/20
Brief notes from the Somerset GP Board meeting. May 15th 2019
Patient leaflet for YDH Referrals
Dermatology EMIS template and Rego teledermatology
Google Reviews and the CQC
Change to acceptance criteria for Community/Neurobehavioural Paediatric Team
GP Survey From David James
CCG local contract 2019/20: The CCG and LMC have concluded negotiations for the 2019/20 local, or enhanced services, contract. The final wording of service specifications will be agreed collaboratively as quickly as possible by the LMC and CCG so that sign-up intentions can be sought and contracts can be prepared for practices. Key headlines for practices are:
- A continuation of the investment in primary care, with an additional £1.2m committed to the existing £8m primary care enhanced services budget
- This equates to an additional £2.18 per weighted patient, subject to offset for high-funded PMS practices as in previous years
- A financial uplift of 2% to all services included in PCIS, recognising the additional costs of providing care
- A commitment to provide electronic ear irrigation to patients with ear wax, recognising that the majority of practices already provide this
- A commitment to improve detection of CVD through opportunistic BP and pulse checks
- A commitment to review the physical health of patients with a severe mental illness diagnosis, through an annual person-centred consultation with an appropriate member of the clinical team
- A recognition of the importance of both access and continuity of care, and a commitment to work collaboratively with the CCG to improve both these facets of care
- In order to support the QOF QI requirements, to participate in the Practice Nurse QI initiative
- A commitment to use NEWS2 where clinically appropriate
- A commitment to carry on using the Somerset Treatment Escalation Plan template and create TEPs for patients where clinically appropriate
- Promotion of self-care including placing a link to high quality self-care information such as www.nhs.uk on practice websites
- A commitment to clinical research by participating in the Clinical Practice Research Database www.cprd.com which involves a simple sign-up to allow anonymised data to be extracted for large-scale clinical studies
- The existing requirements of PCIS remain broadly the same as in 2018/19. Minor amendments are required to medicines management resource utilisation in relation to the CCGs self-care agenda/de-prescribing initiative and a review of the current primary care dashboard will be required in line with the CCG’s Assurance Framework development.
- Improved Access will roll forward on a like for like basis and with the same total requirement for minutes as 18/19. Any further change to Improved Access in light of national changes will be subject to a six month notice period.
Brief notes from the Somerset GP Board meeting. May 15th 2019: In addition to the routine business and discussion of recent meetings attended by members of the GP Board, the following topics were discussed:
- Stuart Walker, Medical Director of the Alliance (T and S/SomPar) talked to the board about the emerging clinical model that will need to underscore the proposed merger between the two trusts which is scheduled for April/May 2020. As far as possible there will be alignment around the county to ensure equity of provision.
- Bulk purchase of GP Access and AskMyGP. We agreed that there will be split funding for practices to engage in the GP Access programme (possibly on a 75/25 split between Transformation monies and the practice). There will be further negotiations with the providers of AskMyGP regarding the cost of licences for practices who wish to use their software on an ongoing basis.
- There was confirmation from the CCG that all 13 Somerset Primary Care Networks had submitted their applications to the CCG and Clinical Directors identified for each. We discussed the support and mentoring arrangements for these Clinical Directors, and how they might link into a Primary Care Provider Umbrella Organisation for the county. Harry has produced a discussion paper and it was agreed that after a tweak or two, this would be circulated to GP Board members and also the new Clinical Directors for comment. We recognised that whilst supporting the new CDs it was important not to place unrealistic demands on their time. We are aware that the acute trusts and public health are also asking how to engage with the nascent Primary Care Networks.
- Following last month’s presentation from SPARK and their link to social prescribing, we discussed their potential role in the system and also that of the Village Agents. It was important to be aware and take account of any historical sensitivities elsewhere in the system.
- Alex Murray updated the GP Board on the new governance structure that effectively combines the STP and Fit For my Future workstreams. We discussed how best to use the scarce GP resource and where they would be most effectively placed in the new system.
The conference call linking Cornwall, Glasgow and Castle Cary with the meeting cut-out after 3 hours, at which point we called it a day and went home. The next meeting will need to be rescheduled according to availability.
Patient leaflet for YDH Referrals: YDH have designed a patient leaflet for non-elective admission that day in order to help manage the expectation on their patient journey, often when they are referred by the primary care team to the medics/ surgeons the patient expects there to be no wait once they arrive at YDH. Please find attached a useful info leaflet you may wish to hand to pts on referral to hospital which will hopefully give them a heads up as to the process involved including the role of AEC and should lead to a smoother patient journey.
Dermatology EMIS template and Rego teledermatology: we have been made aware that some practices have not received the relevant information and templates for dermatology referrals therefore Please find attached a ZIP file containing the required protocol files.
We have also included PDF instructions files to support the installation of the templates installing and importing.
Should you experience difficulties please note that support for the Referral template is being provided via South Central CSU GP Support team. Contact details are on the GP desktop. Please note that support for REGO teledermatology is being provided via Vantage on email@example.com
PCNs: GPC have also prepared some decision making templates for you to use in Schedule 1 to the agreement – which is available in the PCN toolkit tab on our PCN webpage.
In addition, they have published specific guidance about how Sessional GPs and networks should interact with each other, which is available here.
There is a PCN masterclass: leadership through change for aspiring clinical directors , to be held on Tuesday 18th June. This is a free event and is available for those who will be the named Clinical Director for each PCN.
Google Reviews and the CQC: practices may not be aware that there is a further platform within google where patients can leave reviews and CQC are asking practices in their telephone interviews if they are aware of it and have posted replies. In order to do this an account needs to be set up as follows
- Google name of GP surgery & location I.e Mickey Mouse Medical Centre, Disneyworld (this should bring relevant surgery up on the right hand side)
- Click on maps at the top bar under search bar (all, maps, news, shopping etc.)
- It should say on the left, add your business, click this to make a google account.
- Make a google business account, using generic practice email and mobile number (Google will either email or post a pin out to verify this is business)
- Sign into account & click my business, you are then able to reply to reviews, amend opening hours etc.
Change to acceptance criteria for Community/Neurobehavioural Paediatric Team: We are aware that practices have received information from the CCG on this service and the current restrictions within it, we are also aware that this is far from ideal for all concerned. This is seen as a short term fix and discussions are ongoing with the Trusts for the next phase and a clearer solution to the referral pathway.
QMasters: We have now secured a larger room for this training if you haven’t already booked please do so online This has been designed for GPs, Practice Nurses and Practice Managers and will be delivered by Dr Miles Carter a GP Partner in Oxfordshire and the CEO of QMasters. We would strongly recommend attending this training to fully understand how QMasters can benefit the whole practice with saving time, maximising QOF income and improving clinical safety. Full detail and booking https://www.somersetlmc.co.uk/events/9080
GP Survey From David James: The laboratory looks to distribute a user survey to primary every two years, and that time has come around again! Could I encourage as many people as possible to complete the survey (whatever their role in your practice). These surveys do provide valuable feedback for us, and help us to try and improve the service we offer. The survey can be accessed here and is, I am sure you will be pleased to hear, very short.
Thank you for your participation. If there are any specific issues or suggestions you have which are not covered by the survey, please feel free to contact me directly firstname.lastname@example.org.
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Attached file: Teledermatology Protocol 24 01 2019.zip