Somerset LMC Weekly Update Friday 26 July 2019
Date sent: Friday 26 July 2019
Sent to all Somerset GPs and Practice Managers This and previous updates are available here
- Clarity TeamNet roll-out
- GP Resilience interviews
- Somerset Domestic Abuse Newsletter Edition 15 LINK
- Notes from PAG
- Footnote in the DES Specification – population figure
- Digital First Consultation – reminder
HPV: We have been notified that CHIS have inadvertently ‘scheduled’ children at 26 Somerset practices in error whilst carrying out their data cleansing work preparing for the new boys’ HPV programme. CHIS will be contacting the practices and the young people to advise them of the error.
The introduction of HPV for boys will be for boys who are 12-13, starting with an offer in school, to those who are in year 8 on 1 September 2020. There will be no catch up for boys up to 18 or older.
It has been agreed that there will be no delivery through GP practices in 2019/20. Any boys who miss the initial doses from September 2019 to 31 March 2020 will be offered another appointment via the school-based programme. We anticipate that boys will be added to the HPV catch-up scheme in general practice from April 2020. When that happens we envisage it will only include those who were in year 8 on 1 September 2020 i.e. in the first eligible cohort, not older boys. This means that general practices should not offer HPV vaccine to boys in 19/20.
We have asked for a list of the 26 practices involved, if your practice has been contacted and you have given a vaccination to one of the boys, please DO NOT claim for this on CQRS. We are awaiting details of payment for these vaccinations given by a practice and will pass the information onto you.
Clarity TeamNet roll-out: Clarity TeamNet has been purchased using Transformation funding for all practices in Somerset. If you have not already done so, please contact Sally Barnett at SPH to request your access on firstname.lastname@example.org. Workshops to support new users are provisionally set for 11th and 12th of September, more information will be sent to those that have confirmed their sign-up to SPH, so please ensure you do this at the first opportunity.
GP Resilience interviews: This offer has now been extended to all GPs and not just 50+ please see full detail here.
Notes from PAG:
- Newly diagnosed patients with type 1 diabetes should be admitted to hospital or at a minimum discussed with the medical team as they can quickly deteriorate with ketoacidosis.
- Patients that present with a cough for more than 3-4 weeks who are smokers should have an urgent (within 2 weeks) chest xray.
Footnote in the DES Specification – population figure: NHS England have confirmed that, following a number of queries, the correct population figure to use for calculating payments to PCNs is that taken from NHAIS (Exeter) and not the figure published by NHS Digital (as proposed in the relevant footnotes of the Network Contract DES Specification). The Primary Medical Services (Directed Enhanced Services) Directions 2019 confirm that “CRP” means the Contractor Registered Population as defined in Annex A of the Statement of Financial Entitlements (SFE), with the SFE confirming that this is the number of patients as recorded in Exeter. This is the figure that should be used to determine the PCN’s collective registered population. The Network Contract DES Specification will be corrected in 2020/21. NHS England apologise for any inconvenience this error has caused.
Digital First Consultation – reminder: This important consultation outlines NHS England and NHS Improvement’s proposals to reform patient registration, funding and contracting rules. It is proposed that the current Patient Choice Scheme is amended so that money follows the patient; existing GP surgeries can expand and improve their own digital services; and digital-first providers can register new patients in areas where people can’t currently access digital GP services.
The consultation makes a number of proposals including:
- Changes to the out of area registration rules to allow a maximum number of such patients before disaggregation of the main contract
- Changes to the allocations system to enable quarterly recalculation of CCG funding to reflect patient movements
- Changes to the new patient registration premium
- Changes that could allow other digital providers to set up and start registering patients in any part of England
- Changes to allow new digital first practices into the most under-doctored geographies only – for example, CCGs in the bottom 10 or 20%
- Changes to remove the need for most local APMS procurements by looking to PCNs as the default mechanism for maintaining primary care provision.
The LMC are responding we would encourage practices to also do so, the consultation closes on 31 August 2019.
Crown Medical Centre, Venture Way, Taunton, TA2 8QY
Tel: (01823) 331 428
Fax: (01823) 338 561
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